{"hospital_name": "Forsyth Memorial Hospital, Inc.", "last_updated_on": "2026-03-30", "version": "3.0.0", "pid": "3076237859", "rid": "8946", "location_name": ["Novant Health Forsyth Medical Center"], "hospital_address": ["3333 Silas Creek Pkwy, Winston-Salem, NC 27103"], "type_2_npi": ["1447200233"], "license_information": {"license_number": "H0209", "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": "Alisha Hutchens"}, "standard_charge_information": [{"description": "\"\"Y SET\"\" TUBING", "code_information": [{"code": "A4719", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "& CHLAMYDIA AG DFA", "code_information": [{"code": "87270", "type": "CPT"}, {"code": "FMC - 4001 - 306000089", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"minimum": 11.98, "maximum": 191.09, "gross_charge": 197.0, "discounted_cash": 118.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 128.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 121.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 12.28, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 37.31, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 111.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 137.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 137.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 137.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 122.14, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 137.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 141.84, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 177.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 102.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 106.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 135.33, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 37.31, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 135.33, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 78.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 36.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 76.23, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 117.01, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 191.09, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 153.46, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 12.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 167.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 185.18, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 177.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 36.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 23.96, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 177.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 118.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 173.36, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 191.09, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 132.58, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 37.31, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 37.31, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1,25-DIHYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82652", "type": "CPT"}, {"code": "FMC - 4001 - 301000193", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 38.5, "maximum": 553.87, "gross_charge": 571.0, "discounted_cash": 342.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 371.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 456.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 351.73, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 456.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 456.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 456.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 456.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 108.14, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 322.61, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 399.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 399.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 399.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 354.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 399.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 411.12, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 513.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 298.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 308.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 392.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 108.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 392.27, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 228.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 106.03, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 220.97, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 339.17, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.66, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 553.87, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 444.8, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.43, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 485.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 536.74, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 513.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 106.03, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 513.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 342.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 502.48, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 553.87, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 384.28, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 108.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 108.14, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "1,25-DIHYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82652", "type": "CPT"}, {"code": "FMC - 4016 - 301000193", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 27.48, "maximum": 143.56, "gross_charge": 148.0, "discounted_cash": 88.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 96.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 91.16, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 83.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 77.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 101.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 101.67, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 59.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 27.48, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 57.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 87.91, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.66, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 143.56, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 115.29, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.43, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 125.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 139.12, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 27.48, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 130.24, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 143.56, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 99.6, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "1,25-DIHYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82652", "type": "CPT"}, {"code": "FMC - 4702 - 301000193", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 38.5, "maximum": 348.23, "gross_charge": 359.0, "discounted_cash": 215.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 233.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 287.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 221.14, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 287.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 287.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 287.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 287.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 67.99, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 202.83, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 251.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 251.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 251.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 222.58, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 251.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 258.48, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 323.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 187.39, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 193.86, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 246.63, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 67.99, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 246.63, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 143.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 66.66, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 138.93, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 213.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.66, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 348.23, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 279.66, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.43, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 305.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 337.46, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 323.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 66.66, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 323.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 215.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 315.92, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 348.23, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 241.6, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 67.99, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.5, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 67.99, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "100 INSULIN SYRINGES", "code_information": [{"code": "S8490", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "11-DEHYDRO THROMBOXANE B2", "code_information": [{"code": "83520", "type": "CPT"}, {"code": "FMC - 4001 - 301000279", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 17.27, "maximum": 278.39, "gross_charge": 287.0, "discounted_cash": 172.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 186.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 229.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 176.79, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 229.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 17.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 229.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 229.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 229.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 54.35, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 162.15, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 200.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 200.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 200.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 177.94, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 200.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 206.64, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 258.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 149.81, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 17.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 154.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 197.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 54.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 197.16, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 114.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 53.29, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 111.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 170.47, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 17.79, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 278.39, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 223.57, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 17.27, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 18.13, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 243.95, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 269.78, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 258.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 53.29, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 34.54, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 17.27, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 258.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 172.2, "methodology": "fee schedule"}, 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"BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 336.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 195.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 30.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 201.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 256.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 70.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 256.93, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 149.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 69.45, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 144.73, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 222.15, "methodology": "fee 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of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 69.45, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 61.96, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 30.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 336.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 224.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 329.12, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 362.78, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All 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"standard_charge_dollar": 211.31, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 231.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 261.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 269.28, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 336.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 195.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 30.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 201.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 256.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 70.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 256.93, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 149.6, "methodology": "fee schedule"}, {"payer_name": "Carolina 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"standard_charge_dollar": 317.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 351.56, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 336.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 69.45, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 61.96, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 30.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 336.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 224.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 329.12, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 362.78, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 251.7, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 70.83, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 30.98, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 70.83, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "17 HYDROXYPROGESTERONE URINE", "code_information": [{"code": "83498", "type": "CPT"}, {"code": "FMC - 4001 - 301000155", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 27.17, "maximum": 319.13, "gross_charge": 329.0, "discounted_cash": 197.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 213.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 202.66, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 27.85, "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": 263.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 263.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 62.31, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 185.88, "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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 296.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 171.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 27.17, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 177.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 226.02, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 62.31, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 226.02, "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": 61.09, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 127.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 195.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 27.99, "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": 256.29, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 27.17, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 28.53, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 279.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 309.26, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 296.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 61.09, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 54.34, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 27.17, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 296.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 197.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 289.52, "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": "All Payer", "standard_charge_dollar": 221.41, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 62.31, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 27.17, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 62.31, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "17-HYDROPREGNENOLONE", "code_information": [{"code": "84143", "type": "CPT"}, {"code": "FMC - 4001 - 301000594", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 22.81, "maximum": 328.83, "gross_charge": 339.0, "discounted_cash": 203.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 220.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 271.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 208.82, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 271.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 23.38, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 271.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 271.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 271.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 64.2, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 191.53, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 237.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 237.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 237.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 210.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 237.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 244.08, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 305.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 176.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 22.81, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 183.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 232.89, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 64.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 232.89, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 135.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 62.95, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 131.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 201.36, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 23.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 328.83, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 264.08, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 22.81, "methodology": "fee schedule"}, {"payer_name": "Liberty 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"Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 523.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 123.86, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 369.51, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 457.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 457.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 457.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 405.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 457.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 470.88, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 588.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 341.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 17.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 353.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 449.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 123.86, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 449.29, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 261.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 121.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 253.09, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 388.47, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 18.44, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 634.38, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 509.46, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 17.9, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 18.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 555.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 614.76, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 588.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 121.44, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 35.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 17.9, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 588.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 392.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 575.52, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 634.38, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 440.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 123.86, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 17.9, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 123.86, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "1DOSE MENIG VAC BTWN 11 & 13", "code_information": [{"code": "G9414", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST HOSP IP/OBS HIGH 75", "code_information": [{"code": "99223", "type": "CPT"}, {"code": "762", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "1ST HOSP IP/OBS MODERATE 55", "code_information": [{"code": "99222", "type": "CPT"}, {"code": "762", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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"}, {"code": "762", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 98.53, "maximum": 197.06, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 100.99, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 101.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 103.46, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 197.06, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2019-NCOV DIAGNOSTIC P", "code_information": [{"code": "U0001", "type": "HCPCS"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "25-HYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82306", "type": "CPT"}, {"code": "FMC - 4001 - 301000117", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 29.6, "maximum": 448.14, "gross_charge": 462.0, "discounted_cash": 277.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 300.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 369.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 284.59, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 369.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 30.34, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 369.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 369.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 369.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 261.03, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 323.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 323.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 323.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 286.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 323.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 332.64, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 415.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 241.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 249.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 317.39, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 317.39, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 184.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 85.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 178.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 274.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 30.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 448.14, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 359.89, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 31.08, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 392.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 434.28, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 415.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 85.79, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 59.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 415.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 277.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 406.56, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 448.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 310.92, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "25-HYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82306", "type": "CPT"}, {"code": "FMC - 4016 - 301000117", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 28.78, "maximum": 150.35, "gross_charge": 155.0, "discounted_cash": 93.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 100.75, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 124.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 95.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 124.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 30.34, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 124.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 124.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 124.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 29.35, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 87.57, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 108.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 108.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 108.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 96.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 108.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 139.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 80.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 83.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 106.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 29.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 106.48, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 62.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 28.78, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 59.98, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 92.07, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 30.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 150.35, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 120.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 31.08, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 131.75, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 145.7, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 139.5, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 28.78, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 59.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 139.5, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 93.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 136.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 150.35, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 104.31, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 29.35, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 29.35, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "25-HYDROXYVITAMIN D LEVEL", "code_information": [{"code": "82306", "type": "CPT"}, {"code": "FMC - 4702 - 301000117", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 29.6, "maximum": 265.78, "gross_charge": 274.0, "discounted_cash": 164.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 178.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 219.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 168.78, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 219.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 30.34, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 219.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 219.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 219.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 51.89, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 154.81, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 191.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 191.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 191.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 169.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 191.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 197.28, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 246.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 143.02, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 147.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 188.23, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 51.89, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 188.23, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 109.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 50.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 106.03, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 162.75, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 30.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 265.78, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 213.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 31.08, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 232.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 257.56, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 246.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 50.88, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 59.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 246.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 164.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 241.12, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 265.78, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 184.4, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 51.89, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 29.6, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 51.89, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "2D CEPHAL RADIO IMAGE", "code_information": [{"code": "D0702", "type": "HCPCS"}], "standard_charges": [{"minimum": 84.4, "maximum": 168.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 86.51, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 86.93, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 88.62, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "2D CEPHALOMETRIC IMAGE", "code_information": [{"code": "D0340", "type": "HCPCS"}], "standard_charges": [{"minimum": 84.4, "maximum": 168.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 86.51, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 86.93, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 88.62, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 84.4, "maximum": 168.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 86.51, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 86.93, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 88.62, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 760.29, "maximum": 1520.58, "estimated_discounted_cash": 2054.5, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 779.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 783.1, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 798.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 1520.58, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 760.29, "maximum": 1520.58, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 779.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 783.1, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 798.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 1520.58, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 760.29, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 338.36, "maximum": 676.72, "estimated_discounted_cash": 1035.1, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 346.82, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 338.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 348.51, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 338.36, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 355.28, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 676.72, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 338.36, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 338.36, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 278.14, "maximum": 278.14, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 278.14, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}], "standard_charges": [{"minimum": 1342.41, "maximum": 2684.82, "estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1375.97, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1342.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 3829.0, "count": "1 through 10", "median_amount": 1303.31, "methodology": "percent of total billed charges", "10th_percentile": 1303.31, "90th_percentile": 6354.68}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 2414.95, "count": "1 through 10", "median_amount": 2414.95, "methodology": "percent of total billed charges", "10th_percentile": 2414.95, "90th_percentile": 2414.95}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 3829.0, "count": "1 through 10", "median_amount": 1303.31, "methodology": "percent of total billed charges", "10th_percentile": 1303.31, "90th_percentile": 6354.68}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1382.68, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1342.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1409.53, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 2684.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1342.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_percentage": 67.3, "possible_amount": 8071.96, "count": "1 through 10", "median_amount": 8071.96, "methodology": "percent of total billed charges", "10th_percentile": 8071.96, "90th_percentile": 8071.96}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1342.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 2426.84, "count": "1 through 10", "median_amount": 2426.84, "methodology": "percent of total billed charges", "10th_percentile": 2426.84, "90th_percentile": 2426.85}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "330", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "331", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "332", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "333", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "335", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3-D RADIOTHERAPY PLAN", "code_information": [{"code": "77295", "type": "CPT"}, {"code": "339", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 11566.33, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 6989.0, "count": "1 through 10", "median_amount": 6989.0, "methodology": "percent of total billed charges", "10th_percentile": 6989.0, "90th_percentile": 6989.0}], "billing_class": "facility"}]}, {"description": "3D DENTAL SCAN DIRECT", "code_information": [{"code": "D0801", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D ECHO IMG TEE/TTE CGEN CAR ANOMAL", "code_information": [{"code": "93319", "type": "CPT"}, {"code": "FMC - 3001 - 483000072", "type": "CDM"}, {"code": "483", "type": "RC"}], "standard_charges": [{"minimum": 7.98, "maximum": 41.71, "gross_charge": 43.0, "discounted_cash": 25.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 27.95, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 26.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 21.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 24.29, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 22.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 23.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 29.54, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 29.54, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 17.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 7.98, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 16.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 25.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 41.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 33.49, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 36.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 40.42, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 37.84, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 41.71, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 28.93, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "3D ECHO IMG TEE/TTE CGEN CAR ANOMAL", "code_information": [{"code": "93319", "type": "CPT"}, {"code": "FMC - 4001 - 483000072", "type": "CDM"}, {"code": "483", "type": "RC"}], "standard_charges": [{"minimum": 7.98, "maximum": 41.71, "gross_charge": 43.0, "discounted_cash": 25.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 27.95, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 26.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 21.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 34.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 24.29, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 26.66, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 30.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 30.96, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 22.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 23.22, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 29.54, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 29.54, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 17.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 7.98, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 16.64, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 25.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 41.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 33.49, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 36.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 40.42, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 38.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 37.84, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 41.71, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 28.93, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8.14, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "3D FACIAL SCAN DIRECT", "code_information": [{"code": "D0803", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D RECON NON IND WKST", "code_information": [{"code": "76376", "type": "CPT"}, {"code": "FMC - 4043 - 320000356", "type": "CDM"}, {"code": "350", "type": "RC"}], "standard_charges": [{"minimum": 63.17, "maximum": 558.72, "gross_charge": 576.0, "discounted_cash": 345.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 374.4, 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schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 759.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 506.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 742.72, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 818.68, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 568.01, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 159.85, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 159.85, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76376", "type": "CPT"}, {"code": "351", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 691.98, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 418.14, "count": "1 through 10", "median_amount": 418.14, "methodology": "percent of total billed charges", "10th_percentile": 418.14, "90th_percentile": 418.14}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76376", "type": "CPT"}, {"code": "352", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 691.98, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 418.14, "count": "1 through 10", "median_amount": 418.14, "methodology": "percent of total billed charges", "10th_percentile": 418.14, "90th_percentile": 418.14}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76376", "type": "CPT"}, {"code": "359", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 691.98, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 418.14, "count": "1 through 10", "median_amount": 418.14, "methodology": "percent of total billed charges", "10th_percentile": 418.14, "90th_percentile": 418.14}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76377", "type": "CPT"}, {"code": "351", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 900.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76377", "type": "CPT"}, {"code": "352", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 900.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D RENDER W/INTRP POSTPROCES", "code_information": [{"code": "76377", "type": "CPT"}, {"code": "359", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 900.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "3D VOL IMG&RCNSTJ BRST/AX", "code_information": [{"code": "694T", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 231.41, "maximum": 462.82, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 237.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 231.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 238.35, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 231.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 242.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 462.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 231.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 231.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 124.8, "maximum": 249.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 127.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 249.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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"}, {"code": "320", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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"}, {"code": "321", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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"}, {"code": "322", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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"}, {"code": "323", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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"}, {"code": "324", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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"}, {"code": "329", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 124.8, "maximum": 249.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 127.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 249.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 128.26, "maximum": 336.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 336.0, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 128.26, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 15.02, "maximum": 15.02, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 15.02, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 7.38, "maximum": 15.25, "estimated_discounted_cash": 38.3, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_percentage": 61.6, "possible_amount": 17.72, "count": "1 through 10", "median_amount": 17.72, "methodology": "percent of total billed charges", "10th_percentile": 17.72, "90th_percentile": 17.72}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 8.69, "count": "1 through 10", "median_amount": 6.95, "methodology": "percent of total billed charges", "10th_percentile": 6.95, "90th_percentile": 13.89}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 42.7, "count": "1 through 10", "median_amount": 42.7, "methodology": "percent of total billed charges", "10th_percentile": 42.7, "90th_percentile": 42.7}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 8.76, "count": "1 through 10", "median_amount": 6.38, "methodology": "percent of total billed charges", "10th_percentile": 6.38, "90th_percentile": 13.76}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 42.7, "count": "1 through 10", "median_amount": 42.7, "methodology": "percent of total billed charges", "10th_percentile": 42.7, "90th_percentile": 42.7}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 15.25, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 7.38, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 12.4, "count": "1 through 10", "median_amount": 6.95, "methodology": "percent of total billed charges", "10th_percentile": 6.42, "90th_percentile": 20.83}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.22, "count": "13", "median_amount": 6.24, "methodology": "percent of total billed charges", "10th_percentile": 5.78, "90th_percentile": 6.42}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE WITH POTASSIUM", "code_information": [{"code": "S5012", "type": "HCPCS"}], "standard_charges": [{"minimum": 9.08, "maximum": 9.08, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 9.08, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 1.66, "maximum": 2.55, "estimated_discounted_cash": 38.02, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_percentage": 61.6, "possible_amount": 30.5, "count": "1 through 10", "median_amount": 30.5, "methodology": "percent of total billed charges", "10th_percentile": 30.5, "90th_percentile": 30.5}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.58, "count": "1 through 10", "median_amount": 6.38, "methodology": "percent of total billed charges", "10th_percentile": 6.17, "90th_percentile": 6.88}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 2.55, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 1.66, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 8.16, "count": "1 through 10", "median_amount": 6.42, "methodology": "percent of total billed charges", "10th_percentile": 6.42, "90th_percentile": 12.83}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 8.56, "count": "1 through 10", "median_amount": 6.42, "methodology": "percent of total billed charges", "10th_percentile": 6.42, "90th_percentile": 12.84}], "billing_class": "facility"}]}, {"description": "5% DEXTROSE/WATER", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7060", "type": "HCPCS"}], "standard_charges": [{"minimum": 2.48, "maximum": 3.8, "estimated_discounted_cash": 30.72, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.44, "count": "12", "median_amount": 6.42, "methodology": "percent of total billed charges", "10th_percentile": 6.25, "90th_percentile": 6.95}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 16.81, "count": "1 through 10", "median_amount": 16.81, "methodology": "percent of total billed charges", "10th_percentile": 16.81, "90th_percentile": 16.81}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.53, "count": "1 through 10", "median_amount": 6.38, "methodology": "percent of total billed charges", "10th_percentile": 6.38, "90th_percentile": 6.88}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 16.81, "count": "1 through 10", "median_amount": 16.81, "methodology": "percent of total billed charges", "10th_percentile": 16.81, "90th_percentile": 16.81}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 3.8, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2.48, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.4, "count": "1 through 10", "median_amount": 6.42, "methodology": "percent of total billed charges", "10th_percentile": 6.3, "90th_percentile": 6.42}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 6.24, "count": "1 through 10", "median_amount": 6.42, "methodology": "percent of total billed charges", "10th_percentile": 5.78, "90th_percentile": 6.42}], "billing_class": "facility"}]}, {"description": "5% WL MAINTND FROM BSLINE WT", "code_information": [{"code": "G9888", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5' NUCLEOTIDASE", "code_information": [{"code": "83915", "type": "CPT"}, {"code": "FMC - 4001 - 301000327", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 11.15, "maximum": 171.69, "gross_charge": 177.0, "discounted_cash": 106.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 115.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 109.03, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 11.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 33.52, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 123.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 123.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 123.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 109.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 123.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 159.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 92.39, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 95.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 121.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 33.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 121.59, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 70.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 32.86, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 68.49, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 105.13, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 11.48, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 171.69, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 137.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 11.71, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 150.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 166.38, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 159.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 32.86, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 22.3, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 159.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 106.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 155.76, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 171.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 119.12, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.52, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.52, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "5' NUCLEOTIDASE", "code_information": [{"code": "83915", "type": "CPT"}, {"code": "FMC - 4016 - 301000327", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 6.49, "maximum": 33.95, "gross_charge": 35.0, "discounted_cash": 21.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 22.75, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 28.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 21.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 28.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 11.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 28.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 28.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 28.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 6.62, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 19.77, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 24.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 24.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 24.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 21.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 24.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 31.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 18.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 18.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 24.04, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 6.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 24.04, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 14.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 6.49, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13.54, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 20.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 11.48, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 33.95, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 27.26, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 11.71, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 29.75, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 32.9, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 31.5, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 6.49, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 22.3, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 31.5, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 21.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 30.8, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 33.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 23.55, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 6.62, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 11.15, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 6.62, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "5-OH INDOLEACETIC ACID UR24HR", "code_information": [{"code": "83497", "type": "CPT"}, {"code": "FMC - 4001 - 301000262", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 12.9, "maximum": 185.27, "gross_charge": 191.0, "discounted_cash": 114.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 124.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 152.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 117.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 152.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 13.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 152.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 152.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 152.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 36.17, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 107.91, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 133.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 133.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 133.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 118.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 133.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 137.52, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": 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Complete", "plan_name": "Medicaid", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 73.91, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 113.45, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 13.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 185.27, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 148.78, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 162.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 179.54, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 171.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 35.46, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 171.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 114.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 168.08, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 185.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 36.17, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 36.17, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "5-OH INDOLEACETIC ACID UR24HR", "code_information": [{"code": "83497", "type": "CPT"}, {"code": "FMC - 4016 - 301000262", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 11.51, "maximum": 60.14, "gross_charge": 62.0, "discounted_cash": 37.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 40.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 49.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 38.19, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 49.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 13.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 49.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 49.6, "methodology": "fee schedule"}, {"payer_name": 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"BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 43.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 38.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 43.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 44.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 44.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 43.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 38.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 43.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 44.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 44.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 44.64, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 55.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 32.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 33.48, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 42.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 11.74, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 42.59, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 24.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 11.51, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 23.99, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 36.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 13.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 60.14, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 48.29, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 52.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 58.28, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 55.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 11.51, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 55.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 37.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 54.56, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 60.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 41.72, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 11.74, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 11.74, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "5-OH INDOLEACETIC ACID UR24HR", "code_information": [{"code": "83497", "type": "CPT"}, {"code": "FMC - 4702 - 301000262", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 12.9, "maximum": 117.37, "gross_charge": 121.0, "discounted_cash": 72.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 78.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 96.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 74.53, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 96.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 13.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 96.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 96.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 96.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 22.91, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 68.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 84.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 84.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 84.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 75.02, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 84.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 87.12, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 108.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 63.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 65.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 83.12, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 22.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 83.12, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 48.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 22.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 46.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 71.87, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 13.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 117.37, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 94.25, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 102.85, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 113.74, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 108.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 22.46, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 108.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 72.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 106.48, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 117.37, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 81.43, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 22.91, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.9, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 22.91, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 450.16, "maximum": 645.29, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 645.29, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 450.16, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "A PHAGOCYTOPHILUM PCR", "code_information": [{"code": "87798", "type": "CPT"}, {"code": "FMC - 4001 - 306000220", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 35.09, "maximum": 365.69, "gross_charge": 377.0, "discounted_cash": 226.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 245.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 301.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 232.23, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 301.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 35.97, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 301.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 301.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 301.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 71.4, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 213.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 263.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 263.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 263.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 233.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 263.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 271.44, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 339.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 196.79, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 203.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 258.99, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 71.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 258.99, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 150.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 70.0, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 145.89, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 223.93, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 36.14, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 365.69, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 293.68, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 36.84, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 320.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 354.38, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 339.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 70.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 70.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 339.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 226.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 331.76, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 365.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 253.72, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 71.4, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 71.4, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "A PHAGOCYTOPHILUM PCR", "code_information": [{"code": "87798", "type": "CPT"}, {"code": "FMC - 4016 - 306000220", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 35.09, "maximum": 228.92, "gross_charge": 236.0, "discounted_cash": 141.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 153.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 145.37, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 35.97, "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": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 133.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 123.19, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 162.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 162.13, "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": 43.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 91.33, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 140.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 36.14, "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": 183.84, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 36.84, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 200.6, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 221.84, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 43.82, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 70.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 207.68, "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": "All Payer", "standard_charge_dollar": 158.82, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "A PHAGOCYTOPHILUM PCR", "code_information": [{"code": "87798", "type": "CPT"}, {"code": "FMC - 4702 - 306000220", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 35.09, "maximum": 228.92, "gross_charge": 236.0, "discounted_cash": 141.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 153.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 145.37, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 35.97, "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": 188.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 188.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 133.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 146.32, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 165.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 169.92, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 123.19, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 127.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 162.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 162.13, "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": 43.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 91.33, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 140.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 36.14, "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": 183.84, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 36.84, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 200.6, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 221.84, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 43.82, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 70.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 212.4, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 141.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 207.68, "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": "All Payer", "standard_charge_dollar": 158.82, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 44.69, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 41.87, "maximum": 83.74, "estimated_discounted_cash": 18476.38, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 42.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 59.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 41.87, "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": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 83.33, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 43.13, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 41.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 43.96, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 83.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 41.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 54.28, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 41.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 4652.11, "count": "1 through 10", "median_amount": 4658.48, "methodology": "percent of total billed charges", "10th_percentile": 4291.85, "90th_percentile": 4767.95}], "billing_class": "facility"}]}, {"description": "ABCIXIMAB INJECTION", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J0130", "type": "HCPCS"}], "standard_charges": [{"minimum": 681.52, "maximum": 2676.65, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 2676.65, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 681.52, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABD PARACENTESIS", "code_information": [{"code": "49082", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3491.5, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABD PARACENTESIS", "code_information": [{"code": "49082", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3491.5, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding 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{"description": "ABD PARACENTESIS W/IMAGING", "code_information": [{"code": "49083", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 5248.48, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 5108.56, "count": "1 through 10", "median_amount": 3525.1, "methodology": "percent of total billed charges", "10th_percentile": 3088.78, "90th_percentile": 15849.68}], "billing_class": "facility"}]}, {"description": "ABDOMEN ACUTE SERIES", "code_information": [{"code": "74022", "type": "CPT"}, {"code": "FMC - 4043 - 320000167", "type": "CDM"}, {"code": "320", "type": "RC"}], "standard_charges": [{"minimum": 40.79, "maximum": 452.99, "gross_charge": 467.0, "discounted_cash": 280.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 303.55, "methodology": "fee schedule"}, 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{"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 420.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 243.77, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 101.39, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 252.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 320.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 88.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 320.82, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 186.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 86.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 180.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 277.39, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 104.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 452.99, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 363.79, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 101.39, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 106.46, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 396.95, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 438.98, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 420.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 86.72, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 202.78, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 101.39, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 420.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 280.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 410.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 452.99, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 314.29, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 88.44, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 101.39, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 88.44, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABL1 GENE", "code_information": [{"code": "81170", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", 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"facility"}]}, {"description": "ABL1 GENE", "code_information": [{"code": "81170", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABL1 GENE", "code_information": [{"code": "81170", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABL1 GENE", "code_information": [{"code": 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"outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD", "code_information": [{"code": "33254", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ADD-ON", "code_information": [{"code": "33257", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA LMTD ENDO", "code_information": [{"code": "33265", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS ADD-ON", "code_information": [{"code": "33259", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/BYPASS EXTEN", "code_information": [{"code": "33256", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA W/O BYPASS EXT", "code_information": [{"code": "33255", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ADD-ON", "code_information": [{"code": "33258", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE ATRIA X10SV ENDO", "code_information": [{"code": "33266", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 17005.37, "maximum": 34010.74, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 17430.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 17005.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 17515.53, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 17005.37, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 17855.64, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 34010.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 17005.37, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 17005.37, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20982", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 7037.52, "maximum": 14075.04, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7213.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7248.65, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 7389.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 14075.04, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE BONE TUMOR(S) PERQ", "code_information": [{"code": "20983", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33250", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33251", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "33261", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE HEART DYSRHYTHM FOCUS", "code_information": [{"code": "93650", "type": "CPT"}], "standard_charges": [{"minimum": 7564.59, "maximum": 15129.18, "estimated_discounted_cash": 15682.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7753.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7564.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7791.53, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7564.59, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 7942.82, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 15129.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7564.59, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7564.59, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}], "standard_charges": [{"minimum": 1504.82, "maximum": 3009.64, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1542.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1549.96, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1580.06, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 3009.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUBMUC", "code_information": [{"code": "30802", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}], "standard_charges": [{"minimum": 1504.82, "maximum": 3009.64, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1542.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1549.96, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1580.06, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 3009.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1504.82, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE INF TURBINATE SUPERF", "code_information": [{"code": "30801", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 10309.46, "maximum": 20618.92, "estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 10567.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 10309.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 10618.74, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 10309.46, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10824.93, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 20618.92, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 10309.46, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 10309.46, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ CRYBL", "code_information": [{"code": "32994", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 15288.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 5863.32, "maximum": 11726.64, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 6009.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 5863.32, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 6039.22, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 5863.32, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 6156.49, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 11726.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 5863.32, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 5863.32, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLATE PULM TUMOR PERQ RF", "code_information": [{"code": "32998", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLAVAR 244MG / ML 10ML", "code_information": [{"code": "FMC - 3001 - 343000007", "type": "CDM"}, {"code": "250", "type": "RC"}], "standard_charges": [{"gross_charge": 456.0, "discounted_cash": 273.6, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "ABLTJ B9 THYR NDUL PERQ LASR", "code_information": [{"code": "673T", "type": "CPT"}], "standard_charges": [{"minimum": 1601.82, "maximum": 3203.64, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1641.87, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1601.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1649.87, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1601.82, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1681.91, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 3203.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1601.82, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1601.82, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 3797.43, "maximum": 7594.86, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3892.37, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 3797.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3911.35, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3797.43, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3987.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 7594.86, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3797.43, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 3797.43, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 9181.16, "maximum": 18362.32, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 9410.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 9181.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 9456.59, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 9181.16, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 9640.22, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 18362.32, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 9181.16, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 9181.16, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABLTJ MAL PRST8 TISS HIFU", "code_information": [{"code": "55880", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 1893.87, "maximum": 3787.74, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1941.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1950.69, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1988.56, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 3787.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 8511.36, "maximum": 17022.72, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8724.14, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8511.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8766.7, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8511.36, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8936.93, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 17022.72, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8511.36, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8511.36, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 1893.87, "maximum": 3787.74, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1941.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1950.69, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1988.56, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 3787.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1893.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 274.83, "maximum": 549.66, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 281.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 283.07, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 288.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 549.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP ABO 7 EXONS", "code_information": [{"code": "180U", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 274.83, "maximum": 549.66, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 281.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 283.07, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 288.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 549.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "code_information": [{"code": "221U", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 8.31, "maximum": 17.18, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8.52, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 12.89, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8.31, "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": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 17.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8.56, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8.31, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8.73, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 16.62, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8.31, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 10.09, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8.31, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}], "standard_charges": [{"minimum": 3139.56, "maximum": 6279.12, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3218.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3233.75, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3296.54, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6279.12, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59840", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}], "standard_charges": [{"minimum": 3139.56, "maximum": 6279.12, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3218.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3233.75, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3296.54, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6279.12, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 3139.56, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59841", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59850", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59851", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59852", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59855", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59856", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION", "code_information": [{"code": "59857", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}], "standard_charges": [{"minimum": 295.55, "maximum": 591.1, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 302.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 295.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 304.42, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 295.55, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 310.33, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 591.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 295.55, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 295.55, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABORTION (MPR)", "code_information": [{"code": "59866", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": 7760.99, "maximum": 24065.8, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 9171.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 7915.38, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 16547.56, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8947.71, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 17084.0, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 21680.38, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 7915.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 21680.38, "methodology": "case rate"}, {"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": 7760.99, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 11250.29, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 24065.8, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 9216.14, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8947.71, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 9395.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7760.99, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 17895.42, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8947.71, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 23328.82, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 7915.38, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8947.71, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 7915.38, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABORTION WITHOUT D&C", "code_information": [{"code": "779", "type": "MS-DRG"}], "standard_charges": [{"minimum": 5806.55, "maximum": 20192.04, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7695.13, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 5922.06, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 13883.97, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7507.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 14334.07, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 18190.59, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 5922.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 18190.59, "methodology": "case rate"}, {"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": 5806.55, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 9439.39, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 20192.04, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7732.66, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7507.44, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 7882.81, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 5806.55, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 15014.88, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7507.44, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 18478.31, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 5922.06, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7507.44, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 5922.06, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABOVE KNEE SURGICAL STOCKING", "code_information": [{"code": "A4490", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABOVE THE KNEE SHRINKER", "code_information": [{"code": "L8460", "type": "HCPCS"}, {"code": "FMC - 4001 - 427000142", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 19.86, "maximum": 178.66, "gross_charge": 107.0, "discounted_cash": 64.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 69.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 65.91, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 91.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 85.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 20.26, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 60.45, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 74.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 74.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 74.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 66.34, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 74.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 77.04, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 96.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 55.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 89.33, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 57.78, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 73.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 20.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 73.5, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 42.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 19.86, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 41.4, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 63.55, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 92.01, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 103.79, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 83.35, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 89.33, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 93.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 90.95, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 100.58, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 96.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 19.86, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 178.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 89.33, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 96.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 64.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 94.16, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 103.79, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 72.01, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 20.26, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 89.33, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 20.26, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}], "standard_charges": [{"minimum": 194.59, "maximum": 389.18, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 199.45, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 200.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 204.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 389.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESION SINGLE", "code_information": [{"code": "15786", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABRASION LESIONS ADD-ON", "code_information": [{"code": "15787", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ABSCESS DRAINAGE UNDER X-RAY", "code_information": [{"code": "75989", "type": "CPT"}, {"code": "321", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 1184.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 717.5, "count": "1 through 10", "median_amount": 717.5, "methodology": "percent of total billed charges", "10th_percentile": 717.5, "90th_percentile": 717.5}], "billing_class": "facility"}]}, {"description": "ABSCESS DRAINAGE UNDER X-RAY", "code_information": [{"code": "75989", "type": "CPT"}, {"code": "322", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 1184.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 717.5, "count": "1 through 10", "median_amount": 717.5, "methodology": "percent of total billed charges", "10th_percentile": 717.5, "90th_percentile": 717.5}], "billing_class": "facility"}]}, {"description": "ABSCESS DRAINAGE UNDER X-RAY", "code_information": [{"code": "75989", "type": "CPT"}, {"code": "323", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 1184.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 717.5, "count": "1 through 10", "median_amount": 717.5, "methodology": "percent of total billed charges", "10th_percentile": 717.5, "90th_percentile": 717.5}], "billing_class": "facility"}]}, {"description": "ABSCESS DRAINAGE UNDER X-RAY", "code_information": [{"code": "75989", "type": "CPT"}, {"code": "324", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 1184.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 717.5, "count": "1 through 10", "median_amount": 717.5, "methodology": "percent of total billed charges", "10th_percentile": 717.5, "90th_percentile": 717.5}], "billing_class": "facility"}]}, {"description": "ABSCESS DRAINAGE UNDER X-RAY", "code_information": [{"code": "75989", "type": "CPT"}, {"code": "329", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 1184.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 717.5, "count": "1 through 10", "median_amount": 717.5, "methodology": "percent of total billed charges", "10th_percentile": 717.5, "90th_percentile": 717.5}], "billing_class": "facility"}]}, {"description": "ABSORP DRG <= 16 SUC PUMP", "code_information": [{"code": "K0744", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACAPatch, per square centimeter", "code_information": [{"code": "Q4325", "type": "HCPCS"}], "standard_charges": [{"minimum": 120.69, "maximum": 3831.9, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 123.71, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 3831.9, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 124.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 126.72, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2495.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCESS THORACIC LYMPH DUCT", "code_information": [{"code": "38794", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACCOMMODATING LENS ANESTH", "code_information": [{"code": "FMC - 4001 - 370000158", "type": "CDM"}, {"code": "370", "type": "RC"}], "standard_charges": [{"gross_charge": 1008.0, "discounted_cash": 604.8, "setting": "outpatient", "billing_class": "facility"}]}, {"description": "ACE ARB ARNI", "code_information": [{"code": "G2092", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACELLULAR DERM MATRIX IMPLT", "code_information": [{"code": "15777", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 120.69, "maximum": 2968.14, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 123.71, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 2968.14, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 124.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 126.72, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 1933.33, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 120.69, "maximum": 3960.83, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 123.71, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 3960.83, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 124.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 126.72, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2579.93, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY", "code_information": [{"code": "80299", "type": "CPT"}, {"code": "FMC - 4001 - 301000703", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 18.64, "maximum": 1125.2, "gross_charge": 1160.0, "discounted_cash": 696.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 754.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 714.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 19.11, "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": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 655.4, "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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 605.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 796.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 796.92, "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": 215.41, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 448.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 689.04, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 19.2, "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": 903.64, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 19.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 986.0, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1090.4, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 215.41, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 37.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 1020.8, "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": "All Payer", "standard_charge_dollar": 780.68, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY", "code_information": [{"code": "80299", "type": "CPT"}, {"code": "FMC - 4016 - 301000703", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 18.64, "maximum": 1125.2, "gross_charge": 1160.0, "discounted_cash": 696.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 754.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 714.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 19.11, "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": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 655.4, "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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 605.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 796.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 796.92, "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": 215.41, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 448.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 689.04, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 19.2, "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": 903.64, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 19.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 986.0, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1090.4, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 215.41, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 37.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 1020.8, "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": "All Payer", "standard_charge_dollar": 780.68, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LEVEL QUANTITATIVE ASSAY", "code_information": [{"code": "80299", "type": "CPT"}, {"code": "FMC - 4702 - 301000703", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 18.64, "maximum": 1125.2, "gross_charge": 1160.0, "discounted_cash": 696.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 754.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 714.56, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 19.11, "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": 928.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 928.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 655.4, "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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 605.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 626.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 796.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 796.92, "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": 215.41, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 448.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 689.04, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 19.2, "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": 903.64, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 19.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 986.0, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1090.4, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 215.41, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 37.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 1044.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 696.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 1020.8, "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": "All Payer", "standard_charge_dollar": 780.68, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 18.64, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 219.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETAMINOPHEN LVL BLD SCREEN", "code_information": [{"code": "80307", "type": "CPT"}, {"code": "FMC - 4001 - 301000494", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 62.14, "maximum": 891.43, "gross_charge": 919.0, "discounted_cash": 551.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 597.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 566.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 63.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 519.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 479.71, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 496.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 367.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 355.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 545.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.0, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 891.43, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 715.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 781.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 863.86, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 124.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 551.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 808.72, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 891.43, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 618.48, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 21.02, "maximum": 32.27, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 32.27, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 21.02, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE ASSAY", "code_information": [{"code": "82010", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 294.46, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 151.06, "count": "1 through 10", "median_amount": 173.92, "methodology": "percent of total billed charges", "10th_percentile": 14.9, "90th_percentile": 177.01}], "billing_class": "facility"}]}, {"description": "ACETONE/ OTHER KETONES QUAL", "code_information": [{"code": "82009", "type": "CPT"}, {"code": "FMC - 4001 - 301000061", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 4.52, "maximum": 90.21, "gross_charge": 93.0, "discounted_cash": 55.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 60.45, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 74.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 57.28, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 74.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 4.63, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 74.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 74.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 74.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 17.61, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 52.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": 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"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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 75.16, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 77.76, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 98.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 27.27, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 98.92, "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": 26.74, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 55.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 85.53, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12.41, "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": 112.17, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 12.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 122.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 135.36, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 26.74, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 24.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 86.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 126.72, "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": "All Payer", "standard_charge_dollar": 96.91, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 27.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 27.27, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLCHOLN RCPTR MODLG ANTB", "code_information": [{"code": "86043", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 0.45, "maximum": 0.69, "estimated_discounted_cash": 1787.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 338.71, "count": "1 through 10", "median_amount": 332.97, "methodology": "percent of total billed charges", "10th_percentile": 332.97, "90th_percentile": 344.44}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 0.69, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 0.45, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 10.85, "maximum": 16.65, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 16.65, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 10.85, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACETYLMORPHINE URINE", "code_information": [{"code": "80307", "type": "CPT"}, {"code": "FMC - 3001 - 301000712", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 62.14, "maximum": 891.43, "gross_charge": 919.0, "discounted_cash": 551.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 597.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 566.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 63.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 519.23, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 569.78, "methodology": "fee 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"standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 479.71, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 496.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 367.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 355.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 545.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.0, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 891.43, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 715.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 781.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 863.86, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 124.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 551.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 808.72, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 891.43, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 618.48, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee 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"Medicare", "standard_charge_dollar": 63.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 587.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 587.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 587.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 139.01, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 414.71, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 455.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 455.08, "methodology": "fee schedule"}, {"payer_name": 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"standard_charge_dollar": 513.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 455.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 513.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 528.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 528.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 528.48, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 660.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 383.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.14, "methodology": 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"fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.0, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 711.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 571.78, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 623.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 689.96, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 660.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 136.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 124.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 660.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 440.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 645.92, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 711.98, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 493.98, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 139.01, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 139.01, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACETYLMORPHINE URINE", "code_information": [{"code": "80307", "type": "CPT"}, {"code": "FMC - 4016 - 301000712", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 62.14, "maximum": 891.43, "gross_charge": 919.0, "discounted_cash": 551.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 597.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 566.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 63.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 735.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": 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"methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 569.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 643.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 661.68, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 479.71, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 496.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 174.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 631.35, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 367.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 355.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 545.88, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.0, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 891.43, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 715.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 781.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 863.86, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 170.65, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 124.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.14, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 827.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 551.4, 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{"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 156.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 144.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 18.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 149.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 190.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 190.29, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 110.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 51.43, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 107.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 164.53, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 18.95, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 268.69, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 215.78, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 18.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 19.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 235.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 260.38, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 51.43, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 36.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 18.4, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 166.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 243.76, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 268.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 186.42, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 18.4, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACID PERFUSION OF ESOPHAGUS", "code_information": [{"code": "91030", "type": "CPT"}], "standard_charges": [{"minimum": 361.91, "maximum": 723.82, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 370.96, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 361.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 372.77, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 361.91, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 380.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 723.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 361.91, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 361.91, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE PROSTATIC", "code_information": [{"code": "84066", "type": "CPT"}, {"code": "FMC - 4001 - 301000339", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 9.66, "maximum": 121.25, "gross_charge": 125.0, "discounted_cash": 75.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 81.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 9.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 70.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 67.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 50.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 48.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 9.95, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 97.37, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10.14, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 106.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 117.5, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 19.32, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 75.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 110.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 84.12, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE PROSTATIC", "code_information": [{"code": "84066", "type": "CPT"}, {"code": "FMC - 4016 - 301000339", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 9.66, "maximum": 121.25, "gross_charge": 125.0, "discounted_cash": 75.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 81.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 9.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 70.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 67.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 50.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 48.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 9.95, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 97.37, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10.14, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 106.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 117.5, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 19.32, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 75.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 110.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 84.12, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE PROSTATIC", "code_information": [{"code": "84066", "type": "CPT"}, {"code": "FMC - 4702 - 301000339", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 9.66, "maximum": 121.25, "gross_charge": 125.0, "discounted_cash": 75.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 81.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 77.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 9.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 100.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 70.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 77.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 87.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 90.0, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 65.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 67.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 85.87, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 50.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 48.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 74.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 9.95, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 97.37, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10.14, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 106.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 117.5, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 23.21, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 19.32, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 112.5, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 75.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 110.0, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 121.25, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 84.12, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 9.66, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 23.67, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACID PHOSPHATASE TOTAL", "code_information": [{"code": "84060", "type": "CPT"}, {"code": "FMC - 4001 - 301000338", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 7.64, "maximum": 258.99, "gross_charge": 267.0, "discounted_cash": 160.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 173.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 213.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 164.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 213.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7.83, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 213.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 213.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 213.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 50.56, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 150.85, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 186.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 186.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 186.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 165.54, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 186.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 192.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 240.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 139.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 144.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 183.42, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 50.56, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 183.42, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 106.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 49.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 103.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 158.59, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7.87, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 258.99, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 207.99, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7.64, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8.02, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 226.95, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 250.98, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 240.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 49.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 15.28, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7.64, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 240.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 160.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 234.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 258.99, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 179.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 50.56, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7.64, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 50.56, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}], "standard_charges": [{"minimum": 194.59, "maximum": 389.18, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 199.45, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 200.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 204.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 389.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 194.59, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACNE SURGERY", "code_information": [{"code": "10040", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACOUS 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"methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 101.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 93.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 96.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 71.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 69.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 106.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 173.63, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 139.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 152.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 168.26, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public 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"methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACOUS ELEC CARDGRPHY AV OR W", "code_information": [{"code": "93799", "type": "CPT"}, {"code": "FMC - 3001 - 483000016", "type": "CDM"}, {"code": "730", "type": "RC"}], "standard_charges": [{"minimum": 33.24, "maximum": 249.6, "gross_charge": 179.0, "discounted_cash": 107.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 116.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 110.26, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 127.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 101.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 93.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 96.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 71.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 69.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 106.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 173.63, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 139.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 152.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 168.26, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 249.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 107.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 157.52, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 173.63, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 120.46, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACOUS ELEC CARDIOGRPHY", "code_information": [{"code": "93799", "type": "CPT"}, {"code": "FMC - 3001 - 483000015", "type": "CDM"}, {"code": "730", "type": "RC"}], "standard_charges": [{"minimum": 33.24, "maximum": 249.6, "gross_charge": 179.0, "discounted_cash": 107.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 116.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 110.26, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 127.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 143.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 101.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 110.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 125.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 128.88, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 93.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 96.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 122.97, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 71.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 69.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 106.32, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 173.63, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 139.44, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 152.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 168.26, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 33.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 249.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 161.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 107.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 157.52, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 173.63, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 120.46, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 33.9, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACOUSTIC IMMITANCE TESTING", "code_information": [{"code": "92570", "type": "CPT"}], "standard_charges": [{"minimum": 124.8, "maximum": 249.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 127.92, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 128.54, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 131.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 249.6, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 124.8, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACOUSTIC REFL THRESHOLD TST", "code_information": [{"code": "92568", "type": "CPT"}], "standard_charges": [{"minimum": 36.23, "maximum": 72.46, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 37.14, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 36.23, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 37.32, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 36.23, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 38.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 72.46, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 36.23, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 36.23, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACROMIOCLAVICULAR JOINTS BIL", "code_information": [{"code": "73050", "type": "CPT"}, {"code": "FMC - 4043 - 320000092", "type": "CDM"}, {"code": "320", "type": "RC"}], "standard_charges": [{"minimum": 31.98, "maximum": 390.91, "gross_charge": 403.0, "discounted_cash": 241.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 261.95, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 248.24, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 86.51, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 322.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 76.32, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 227.69, "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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 362.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 210.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 217.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 276.86, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 76.32, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 276.86, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 161.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 74.83, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 155.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 239.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 86.93, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 390.91, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 313.93, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 88.62, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 342.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 378.82, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 362.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 74.83, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 168.8, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 362.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 241.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 390.91, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 271.21, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 76.32, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 84.4, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 76.32, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}], "standard_charges": [{"minimum": 32.62, "maximum": 65.24, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 33.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 32.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 32.62, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 34.25, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 65.24, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 32.62, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 32.62, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80400", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}], "standard_charges": [{"minimum": 86.96, "maximum": 173.92, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 89.13, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 86.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 89.57, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 86.96, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 91.31, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 173.92, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 86.96, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 86.96, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80402", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}], "standard_charges": [{"minimum": 78.26, "maximum": 156.52, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 80.22, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 78.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 80.61, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 78.26, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 82.17, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 156.52, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 78.26, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 78.26, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTH STIMULATION PANEL", "code_information": [{"code": "80406", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIGRAPHY TESTING", "code_information": [{"code": "95803", "type": "CPT"}], "standard_charges": [{"minimum": 57.21, "maximum": 119.59, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 58.64, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "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": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 57.21, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 58.93, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 57.21, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 60.07, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 114.42, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 57.21, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 57.21, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIN ANTIBODY EACH", "code_information": [{"code": "86015", "type": "CPT"}, {"code": "FMC - 3001 - 302000285", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 12.05, "maximum": 183.33, "gross_charge": 189.0, "discounted_cash": 113.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 122.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 151.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 116.42, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 151.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 12.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 151.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 151.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 151.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 35.79, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 106.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 132.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 132.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 132.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 117.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 132.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 136.08, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 98.65, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 102.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 129.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 35.79, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 129.84, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 75.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 73.14, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 112.26, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12.41, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 183.33, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 147.23, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 12.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 160.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 177.66, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 24.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 170.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 113.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 166.32, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 183.33, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 127.19, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 35.79, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 35.79, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTIN ANTIBODY EACH", "code_information": [{"code": "86015", "type": "CPT"}, {"code": "FMC - 4001 - 302000285", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 12.05, "maximum": 174.6, "gross_charge": 180.0, "discounted_cash": 108.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 117.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 144.0, "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": 144.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 12.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 144.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 144.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 144.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 34.09, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 101.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 126.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 126.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 126.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 111.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 126.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 129.6, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 162.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 93.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 97.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 123.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 34.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 123.66, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 72.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 33.42, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 69.66, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 106.92, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12.41, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 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"standard_charge_dollar": 24.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.05, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 162.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 108.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 158.4, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 174.6, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 121.14, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 34.09, "methodology": "fee schedule"}, {"payer_name": "United 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16.09, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 11.53, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16.09, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTINOMYCES ANTIBODY", "code_information": [{"code": "86602", "type": "CPT"}, {"code": "FMC - 4001 - 302000094", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 10.18, "maximum": 268.69, "gross_charge": 277.0, "discounted_cash": 166.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 180.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 170.63, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 10.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 221.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 156.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 171.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 193.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 199.44, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 144.59, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 10.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 149.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 190.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 190.29, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 110.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 51.43, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 107.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 164.53, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 10.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 268.69, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 215.78, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 10.18, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10.69, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 235.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 260.38, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 51.43, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 20.36, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 10.18, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 249.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 166.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 243.76, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 268.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 186.42, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 10.18, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 52.46, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACTIVATE MATRIX, PER SQ CM", "code_information": [{"code": "Q4301", "type": "HCPCS"}], "standard_charges": [{"minimum": 120.69, "maximum": 3383.27, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 123.71, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 3383.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 124.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 126.72, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 241.38, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2203.73, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 120.69, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACTIVATED CLOTTING TIME", "code_information": [{"code": "85347", "type": "CPT"}, {"code": "FMC - 3001 - 305000086", "type": "CDM"}, {"code": "305", "type": "RC"}], "standard_charges": [{"minimum": 4.28, "maximum": 74.69, "gross_charge": 77.0, "discounted_cash": 46.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 50.05, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 61.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 47.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 61.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 4.39, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 61.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 61.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 61.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 14.58, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 43.5, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 53.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 53.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 53.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 47.74, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 53.9, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 55.44, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 69.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 40.19, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 4.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 41.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 52.89, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 14.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 52.89, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 30.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 14.29, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 29.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 45.73, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 4.41, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 74.69, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 59.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 4.28, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 4.49, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 65.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 72.38, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 69.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 14.29, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 8.56, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 4.28, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 69.3, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 46.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 67.76, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 74.69, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 51.82, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 14.58, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 4.28, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 14.58, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 28.05, "maximum": 56.1, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 28.75, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 28.89, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 29.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 56.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 28.05, "maximum": 56.1, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 28.75, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 28.89, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 29.45, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 56.1, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 28.05, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 8568.46, "maximum": 23045.76, "estimated_discounted_cash": 34492.98, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8782.67, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 35.62, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 15846.18, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8568.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 16359.89, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 20761.44, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 35.62, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 20761.44, "methodology": "case rate"}, {"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": 34.92, "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", "standard_charge_dollar": 23045.76, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8825.51, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8568.46, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8996.88, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 34.92, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 17136.92, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8568.46, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 21089.83, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 35.62, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8568.46, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 35.62, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC", "code_information": [{"code": "289", "type": "MS-DRG"}], "standard_charges": [{"minimum": 15231.73, "maximum": 40967.31, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 15612.52, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 21894.25, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 28168.97, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 15231.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 29082.16, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 36906.59, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 21894.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 36906.59, "methodology": "case rate"}, {"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": 21467.2, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 19151.42, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 40967.31, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 15688.68, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 15231.73, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 15993.32, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 21467.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 30463.46, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 15231.73, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 37490.35, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 21894.25, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 15231.73, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 21894.25, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC", "code_information": [{"code": "288", "type": "MS-DRG"}], "standard_charges": [{"minimum": 24149.1, "maximum": 64951.51, "estimated_discounted_cash": 35280.26, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 24752.83, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 39141.21, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 44660.42, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 24149.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 46108.24, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 58513.46, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 39141.21, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 58513.46, "methodology": "case rate"}, {"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": 38377.77, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 30363.56, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 64951.51, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 24873.57, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 24149.1, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 25356.56, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 38377.77, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 48298.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 24149.1, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 59438.98, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 39141.21, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 24149.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 39141.21, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC", "code_information": [{"code": "290", "type": "MS-DRG"}], "standard_charges": [{"minimum": 8296.29, "maximum": 22313.73, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8503.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 15464.37, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 15342.84, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8296.29, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 15840.23, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 20101.97, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 15464.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 20101.97, "methodology": "case rate"}, {"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": 15162.74, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 10431.23, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 22313.73, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8545.18, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8296.29, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8711.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15162.74, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 16592.58, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8296.29, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 20419.93, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 15464.37, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8296.29, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 15464.37, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE CARE CHRONIC OBSTRUCT", "code_information": [{"code": "G9681", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}, {"code": "340", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}, {"code": "342", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}, {"code": "343", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}, {"code": "344", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE GI BLOOD LOSS IMAGING", "code_information": [{"code": "78278", "type": "CPT"}, {"code": "349", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE HEMODIALYSIS IP", "code_information": [{"code": "90935", "type": "CPT"}, {"code": "FMC - 4001 - 801000001", "type": "CDM"}, {"code": "801", "type": "RC"}], "standard_charges": [{"minimum": 221.16, "maximum": 1331.26, "gross_charge": 1191.0, "discounted_cash": 714.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 774.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 952.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 733.65, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 952.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 682.27, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 952.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 952.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 952.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 225.57, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", 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"ACUTE LEUKEMIA WITH CC", "code_information": [{"code": "835", "type": "MS-DRG"}], "standard_charges": [{"minimum": 18612.89, "maximum": 50061.29, "estimated_discounted_cash": 133022.9, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First 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"standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 38254.66, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 34421.96, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 18612.89, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 35537.86, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 45099.17, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 38254.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 45099.17, "methodology": "case rate"}, {"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": 37508.51, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 23402.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 50061.29, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 19171.28, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 18612.89, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 19543.53, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 37508.51, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 37225.78, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 18612.89, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 45812.51, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 38254.66, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 18612.89, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 38254.66, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH MCC", "code_information": [{"code": "834", "type": "MS-DRG"}], "standard_charges": [{"minimum": 48989.78, "maximum": 131763.09, "estimated_discounted_cash": 70665.9, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 50214.52, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 102621.81, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 90599.82, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 48989.78, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 93536.92, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 118702.62, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 102621.81, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 118702.62, "methodology": "case rate"}, {"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": 100620.19, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 61596.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 131763.09, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 50459.47, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 48989.78, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 51439.27, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 100620.19, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 97979.56, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 48989.78, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 120580.16, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 102621.81, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 48989.78, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 102621.81, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITH OTHER PROCEDURES", "code_information": [{"code": "850", "type": "MS-DRG"}], "standard_charges": [{"minimum": 62485.33, "maximum": 207836.66, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 79205.94, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 63728.34, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 142907.73, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 77274.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 147540.56, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 187235.71, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 63728.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 187235.71, "methodology": "case rate"}, {"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": 62485.33, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 97159.59, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 207836.66, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 79592.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 77274.09, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 81137.79, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 62485.33, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 154548.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 77274.09, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 201471.93, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 63728.34, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 77274.09, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 63728.34, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE LEUKEMIA WITHOUT CC/MCC", "code_information": [{"code": "836", "type": "MS-DRG"}], "standard_charges": [{"minimum": 10882.35, "maximum": 29269.22, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 11154.41, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 20282.51, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 20125.41, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 10882.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 20777.84, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 26368.03, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 20282.51, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 26368.03, "methodology": "case rate"}, {"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": 19886.9, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13682.79, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 29269.22, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 11208.82, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 10882.35, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 11426.47, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 19886.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 21764.7, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 10882.35, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 26785.1, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 20282.51, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 10882.35, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 20282.51, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITH CC/MCC", "code_information": [{"code": "121", "type": "MS-DRG"}], "standard_charges": [{"minimum": 8500.89, "maximum": 27920.36, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 10640.37, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8669.99, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 19197.94, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 10380.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 19820.31, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 25152.87, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 8669.99, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 25152.87, "methodology": "case rate"}, {"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": 8500.89, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 13052.23, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 27920.36, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 10692.28, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 10380.85, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 10899.89, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 8500.89, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 20761.7, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 10380.85, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 25550.72, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 8669.99, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 10380.85, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8669.99, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC", "code_information": [{"code": "122", "type": "MS-DRG"}], "standard_charges": [{"minimum": 5361.68, "maximum": 18859.99, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7187.48, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 5468.34, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 12968.06, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7012.18, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 13388.46, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 16990.57, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 5468.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 16990.57, "methodology": "case rate"}, {"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": 5361.68, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 8816.68, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 18859.99, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7222.55, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7012.18, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 7362.79, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 5361.68, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 14024.36, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7012.18, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 17259.31, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 5468.34, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7012.18, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 5468.34, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC", "code_information": [{"code": "281", "type": "MS-DRG"}], "standard_charges": [{"minimum": 8201.7, "maximum": 22059.32, "estimated_discounted_cash": 34313.39, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8406.74, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 10362.42, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 15167.91, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8201.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 15659.63, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 19872.78, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 10362.42, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 19872.78, "methodology": "case rate"}, {"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": 10160.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 10312.3, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 22059.32, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8447.75, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8201.7, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8611.79, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 10160.3, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 16403.4, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8201.7, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 20187.11, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 10362.42, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8201.7, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 10362.42, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC", "code_information": [{"code": "280", "type": "MS-DRG"}], "standard_charges": [{"minimum": 14314.38, "maximum": 38500.0, "estimated_discounted_cash": 53852.93, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 14672.24, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 16018.7, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 26472.46, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 14314.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 27330.66, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 34683.85, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 16018.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 34683.85, "methodology": "case rate"}, {"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": 15706.26, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 17998.0, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 38500.0, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 14743.81, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 14314.38, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 15030.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15706.26, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 28628.76, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 14314.38, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 35232.45, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 16018.7, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 14314.38, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16018.7, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC", "code_information": [{"code": "282", "type": "MS-DRG"}], "standard_charges": [{"minimum": 6452.67, "maximum": 17355.12, "estimated_discounted_cash": 39486.72, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 6613.99, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 8732.64, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 11933.32, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 6452.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 12320.18, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 15634.87, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 8732.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 15634.87, "methodology": "case rate"}, {"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": 8562.31, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 8113.18, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 17355.12, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 6646.25, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 6452.67, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 6775.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 8562.31, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 12905.34, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 6452.67, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 15882.17, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 8732.64, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 6452.67, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 8732.64, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC", "code_information": [{"code": "284", "type": "MS-DRG"}], "standard_charges": [{"minimum": 6176.93, "maximum": 16613.49, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 6331.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 11423.38, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 6176.93, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 11793.7, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 14966.75, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 14966.75, "methodology": "case rate"}, {"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": 9404.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 7766.48, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 16613.49, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 6362.24, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 6176.93, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 6485.78, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 9404.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 12353.86, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 6176.93, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 15203.48, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 6176.93, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC", "code_information": [{"code": "283", "type": "MS-DRG"}], "standard_charges": [{"minimum": 17675.91, "maximum": 47541.18, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 18117.81, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 22204.64, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 32689.14, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 17675.91, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 33748.87, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 42828.86, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 22204.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 42828.86, "methodology": "case rate"}, {"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": 21771.54, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 22224.58, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 47541.18, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 18206.19, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 17675.91, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 18559.71, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 21771.54, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 35351.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 17675.91, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 43506.29, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 22204.64, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 17675.91, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 22204.64, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC", "code_information": [{"code": "285", "type": "MS-DRG"}], "standard_charges": [{"minimum": 5344.36, "maximum": 14374.2, "estimated_discounted_cash": 17160.95, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 5477.97, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 9883.65, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 5344.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 10204.06, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 12949.42, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 12949.42, "methodology": "case rate"}, {"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": 9404.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 6719.66, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 14374.2, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 5504.69, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 5344.36, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 5611.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 9404.58, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 10688.72, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 5344.36, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 13154.24, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 5344.36, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 9591.67, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE NURSING FACILITY CARE", "code_information": [{"code": "G9685", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMB IMAGING", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "FMC - 3001 - 341000052", "type": "CDM"}, {"code": "341", "type": "RC"}], "standard_charges": [{"minimum": 285.32, "maximum": 2524.94, "gross_charge": 2603.04, "discounted_cash": 1561.82, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 1691.97, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 2082.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 1603.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 2082.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1287.02, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 2082.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 2082.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 2082.43, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 493.01, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 1470.71, "methodology": "fee schedule"}, {"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": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 2342.73, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1358.78, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1405.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 1788.28, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 493.01, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 1788.28, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 1041.21, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 483.38, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 1007.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 1546.2, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1293.3, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 2524.94, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 2027.76, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1318.41, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 2212.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 2446.85, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 2342.73, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 483.38, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 2511.26, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 2342.73, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 1561.82, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 2290.67, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 2524.94, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 1751.84, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 493.01, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 493.01, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "340", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "342", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "343", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "344", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACUTE VENOUS THROMBUS IMAGE", "code_information": [{"code": "78456", "type": "CPT"}, {"code": "349", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 0.04, "maximum": 0.06, "estimated_discounted_cash": 257.32, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 0.06, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 0.04, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 32.52, "count": "1 through 10", "median_amount": 32.52, "methodology": "percent of total billed charges", "10th_percentile": 32.52, "90th_percentile": 32.52}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINE", "code_information": [{"code": "82017", "type": "CPT"}, {"code": "FMC - 4001 - 301000064", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 16.87, "maximum": 260.93, "gross_charge": 269.0, "discounted_cash": 161.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 174.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 215.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 165.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 215.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 17.29, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 215.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 215.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 215.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 50.94, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 151.98, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 188.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 188.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 188.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 166.78, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 188.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 193.68, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 242.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 140.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 16.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 145.26, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 184.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 50.94, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 184.8, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 107.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 49.95, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 104.1, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 159.78, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 17.38, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 260.93, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 209.55, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 16.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 17.71, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 228.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 252.86, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 242.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 49.95, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 33.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 16.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 242.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 161.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 236.72, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 260.93, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 181.03, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 50.94, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 16.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 50.94, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}], "standard_charges": [{"minimum": 16.49, "maximum": 32.98, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 16.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 16.49, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 16.98, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 16.49, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 17.31, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 32.98, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 16.49, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 16.49, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": "82016", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ACYLCARNITINES QUAL", "code_information": [{"code": 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"plan_name": "BlueMedicare HMO", "standard_charge_dollar": 304.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 304.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 343.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 304.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 343.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 353.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 353.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 343.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 304.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 343.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 353.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 353.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 353.52, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 441.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 256.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 30.86, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 265.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 337.31, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 92.99, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 337.31, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 196.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 91.17, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 190.01, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 291.65, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 31.79, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 476.27, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 382.48, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 30.86, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 32.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 417.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 461.54, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 441.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 91.17, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 61.72, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 30.86, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 441.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 294.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 432.08, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 476.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 330.44, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 92.99, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 30.86, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 92.99, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADAPT BEHAVIOR TX PHYS/QHP", "code_information": [{"code": "97155", "type": "CPT"}], "standard_charges": [{"minimum": 172.15, "maximum": 344.3, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 176.45, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 172.15, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 177.31, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 172.15, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 180.76, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 344.3, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 172.15, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 172.15, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 36.34, "maximum": 72.68, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 37.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 37.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 38.16, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 72.68, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 98.53, "maximum": 197.06, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 100.99, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 101.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 103.46, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 197.06, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADBUCT HIP FLEX PAVLIK HARNE", "code_information": [{"code": "L1620", "type": "HCPCS"}, {"code": "FMC - 33001 - 427000182", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 166.13, "maximum": 3290.24, "gross_charge": 3392.0, "discounted_cash": 2035.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 2204.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 2089.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 170.28, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 1916.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1770.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1831.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2330.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2330.3, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 1356.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 629.89, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 1312.7, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 2014.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 171.11, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 3290.24, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 2642.36, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 174.44, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 2883.2, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 3188.48, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 629.89, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 332.26, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 2035.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 2984.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 3290.24, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2282.81, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADBUCT HIP FLEX PAVLIK HARNE", "code_information": [{"code": "L1620", "type": "HCPCS"}, {"code": "FMC - 4001 - 427000182", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 166.13, "maximum": 3290.24, "gross_charge": 3392.0, "discounted_cash": 2035.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 2204.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 2089.47, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 170.28, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 2713.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 1916.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 2103.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 2374.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 2442.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1770.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1831.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 2330.3, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 2330.3, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 1356.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 629.89, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 1312.7, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 2014.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 171.11, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 3290.24, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 2642.36, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 174.44, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 2883.2, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 3188.48, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 629.89, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 332.26, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 3052.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 2035.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 2984.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 3290.24, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 2282.81, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 166.13, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 642.44, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD 30 MINS COUNSEL", "code_information": [{"code": "G2080", "type": "HCPCS"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD LE LIMITED ANKLE MOTION", "code_information": [{"code": "L2200", "type": "HCPCS"}, {"code": "FMC - 33001 - 427000001", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 18.38, "maximum": 109.26, "gross_charge": 99.0, "discounted_cash": 59.4, 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"methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 128.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 131.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 131.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 128.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 113.46, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 128.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 131.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 131.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 131.76, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 164.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 95.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 88.17, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 98.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 125.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 34.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 125.72, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 73.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 33.98, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 70.82, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 108.7, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 90.82, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 177.51, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 142.55, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 88.17, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 92.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 155.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 172.02, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 164.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 33.98, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 176.34, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 88.17, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 164.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 109.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 161.04, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 177.51, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 123.15, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 34.66, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 88.17, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 34.66, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 627.0, "maximum": 1254.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 642.68, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 627.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 645.81, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 627.0, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 658.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 1254.0, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 627.0, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 627.0, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADD TO LE PELVIC CONTROL", "code_information": [{"code": "L2624", "type": "HCPCS"}, {"code": "FMC - 33001 - 427000003", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 183.84, "maximum": 960.3, "gross_charge": 990.0, "discounted_cash": 594.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 643.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 609.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 491.04, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 559.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 516.78, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 534.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 680.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 680.13, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 396.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 183.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 383.13, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 588.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 493.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 960.3, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 771.21, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 503.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 841.5, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 930.6, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 183.84, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 958.12, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 594.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 871.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 960.3, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 666.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD TO LE PELVIC CONTROL", "code_information": [{"code": "L2624", "type": "HCPCS"}, {"code": "FMC - 4001 - 427000003", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 183.84, "maximum": 960.3, "gross_charge": 990.0, "discounted_cash": 594.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 643.5, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 609.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 491.04, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 792.0, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 559.35, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 613.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 693.0, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 712.8, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 516.78, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 534.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 680.13, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 680.13, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 396.0, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 183.84, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 383.13, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 588.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 493.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 960.3, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 771.21, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 503.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 841.5, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 930.6, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 183.84, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 958.12, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 891.0, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 594.0, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 871.2, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 960.3, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 666.27, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 479.06, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 187.5, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD TO LE THIGH/WB LACER PT", "code_information": [{"code": "L2540", "type": "HCPCS"}, {"code": "FMC - 33001 - 427000004", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 142.24, "maximum": 971.66, "gross_charge": 766.0, "discounted_cash": 459.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 497.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 471.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 497.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 432.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 399.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 413.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 526.24, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 526.24, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 306.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 142.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 296.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 455.0, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 500.4, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 743.02, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 596.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 510.12, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 651.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 720.04, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 142.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 971.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 459.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 674.08, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 743.02, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 515.51, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADD TO LE THIGH/WB LACER PT", "code_information": [{"code": "L2540", "type": "HCPCS"}, {"code": "FMC - 4001 - 427000004", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 142.24, "maximum": 971.66, "gross_charge": 766.0, "discounted_cash": 459.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 497.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 471.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 497.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 612.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 432.79, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 474.92, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 536.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 551.52, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 399.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 413.64, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 526.24, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 526.24, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 306.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 142.24, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 296.44, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 455.0, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 500.4, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 743.02, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 596.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 510.12, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 651.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 720.04, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 142.24, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 971.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 689.4, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 459.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 674.08, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 743.02, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 515.51, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 485.83, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 145.08, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF SOLE TO SHOE", "code_information": [{"code": "L3540", "type": "HCPCS"}, {"code": "FMC - 33001 - 427000161", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 62.87, "maximum": 338.53, "gross_charge": 349.0, "discounted_cash": 209.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 226.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 214.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 64.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 197.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 182.17, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 188.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 239.76, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 239.76, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 139.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 64.8, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 135.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 207.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.76, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 338.53, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 271.87, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 66.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 296.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 328.06, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 64.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 125.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 209.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 307.12, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 338.53, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 234.87, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADDITION OF SOLE TO SHOE", "code_information": [{"code": "L3540", "type": "HCPCS"}, {"code": "FMC - 4001 - 427000161", "type": "CDM"}, {"code": "274", "type": "RC"}], "standard_charges": [{"minimum": 62.87, "maximum": 338.53, "gross_charge": 349.0, "discounted_cash": 209.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 226.85, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 214.98, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 64.44, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 279.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 197.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 216.38, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 244.3, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 251.28, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 182.17, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 188.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 239.76, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 239.76, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 139.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 64.8, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 135.06, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 207.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 64.76, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 338.53, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 271.87, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 66.01, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 296.65, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 328.06, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 64.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 125.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 314.1, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 209.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 307.12, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 338.53, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 234.87, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 62.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 66.1, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}], "standard_charges": [{"minimum": 157.6, "maximum": 315.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 161.54, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 162.33, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 165.48, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 315.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 157.6, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADDITION OF WALKER TO CAST", "code_information": [{"code": "29440", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOCORTICOTROPIC HORMONE", "code_information": [{"code": "82024", "type": "CPT"}, {"code": "FMC - 4001 - 301000065", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 38.62, "maximum": 554.84, "gross_charge": 572.0, "discounted_cash": 343.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 371.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 457.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 352.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 457.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.59, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 457.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 457.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 457.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 108.33, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 323.18, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 400.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 400.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 400.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 354.64, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 400.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 411.84, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 514.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 298.58, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 308.88, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 392.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 108.33, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 392.96, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 228.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 106.22, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 221.36, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 339.76, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.78, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 554.84, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 445.58, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 486.2, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 537.68, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 514.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 106.22, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.24, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 514.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 343.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 503.36, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 554.84, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 384.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 108.33, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 108.33, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOCORTICOTROPIC HORMONE", "code_information": [{"code": "82024", "type": "CPT"}, {"code": "FMC - 4016 - 301000065", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 27.48, "maximum": 143.56, "gross_charge": 148.0, "discounted_cash": 88.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 96.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 91.16, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.59, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 118.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 83.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 91.76, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 103.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 106.56, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 77.25, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 79.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 101.67, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 101.67, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 59.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 27.48, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 57.27, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 87.91, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.78, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 143.56, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 115.29, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 125.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 139.12, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 27.48, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.24, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 133.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 88.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 130.24, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 143.56, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 99.6, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 28.03, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOCORTICOTROPIC HORMONE", "code_information": [{"code": "82024", "type": "CPT"}, {"code": "FMC - 4702 - 301000065", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 38.62, "maximum": 626.62, "gross_charge": 646.0, "discounted_cash": 387.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 419.9, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 516.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 397.93, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 516.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 39.59, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 516.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 516.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 516.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 122.35, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 364.99, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 452.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 452.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 452.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 400.52, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 452.2, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 465.12, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 581.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 337.21, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 348.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 122.35, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 258.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 119.96, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 250.0, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 383.72, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 39.78, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 626.62, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 503.23, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 40.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 549.1, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 607.24, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 581.4, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 119.96, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 77.24, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 581.4, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 387.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 568.48, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 626.62, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 434.75, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 122.35, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 38.62, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 122.35, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOMA DETECTED SCREENING", "code_information": [{"code": "3775F", "type": "CPT"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOSINE DEAMINASE PLEURAL FLUID", "code_information": [{"code": "84311", "type": "CPT"}, {"code": "FMC - 4001 - 301000755", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 8.1, "maximum": 437.47, "gross_charge": 451.0, "discounted_cash": 270.6, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 293.15, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 360.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 277.81, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 360.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 360.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 360.8, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 360.8, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 85.41, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 254.81, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 315.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 315.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 315.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 279.62, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 315.7, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 324.72, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 235.42, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 243.54, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 309.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 85.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 309.83, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 180.4, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 83.75, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 174.53, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 267.89, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 437.47, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 351.32, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8.51, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 383.35, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 423.94, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 83.75, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 16.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 405.9, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 270.6, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 396.88, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 437.47, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 303.52, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 85.41, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 85.41, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOSINE DEAMINASE PLEURAL FLUID", "code_information": [{"code": "84311", "type": "CPT"}, {"code": "FMC - 4016 - 301000755", "type": "CDM"}, {"code": "301", "type": "RC"}], "standard_charges": [{"minimum": 8.1, "maximum": 715.86, "gross_charge": 738.0, "discounted_cash": 442.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 479.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 590.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 454.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 590.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 8.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 590.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 590.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 590.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 139.77, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 416.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 516.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 516.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 516.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 457.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 516.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 531.36, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 664.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 385.23, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 398.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 507.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 139.77, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 507.0, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 295.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 137.04, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 285.6, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 438.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 8.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 715.86, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 574.9, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 8.51, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 627.3, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 693.72, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 664.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 137.04, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 16.2, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 664.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 442.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 649.44, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 715.86, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 496.67, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 139.77, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 8.1, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 139.77, "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": [{"minimum": 0.56, "maximum": 0.86, "estimated_discounted_cash": 488.56, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 277.26, "count": "1 through 10", "median_amount": 238.81, "methodology": "percent of total billed charges", "10th_percentile": 238.81, "90th_percentile": 315.71}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 277.26, "count": "1 through 10", "median_amount": 238.81, "methodology": "percent of total billed charges", "10th_percentile": 238.81, "90th_percentile": 315.71}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 0.86, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 0.56, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 128.01, "count": "1 through 10", "median_amount": 127.53, "methodology": "percent of total billed charges", "10th_percentile": 60.07, "90th_percentile": 236.13}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AB QUANT", "code_information": [{"code": "86603", "type": "CPT"}, 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"fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 21.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 22.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 16.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 7.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 16.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 24.94, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 13.26, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 40.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 32.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13.51, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 35.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 39.48, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7.79, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 36.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 40.74, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 28.26, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG DFA", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "FMC - 4001 - 306000087", "type": "CDM"}, {"code": "300", "type": "RC"}], "standard_charges": [{"minimum": 14.43, "maximum": 216.31, "gross_charge": 223.0, "discounted_cash": 133.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 144.95, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 178.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 137.36, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 178.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 14.79, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 178.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 178.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 178.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 42.23, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 125.99, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 156.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 156.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 156.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 138.26, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 156.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 160.56, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 200.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 116.4, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 14.43, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 120.42, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 153.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 42.23, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 153.2, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 89.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 41.41, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 86.3, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 132.46, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 14.86, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 216.31, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 173.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 14.43, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 15.15, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 189.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 209.62, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 200.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 41.41, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 28.86, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 14.43, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 200.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 133.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 196.24, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 216.31, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 150.07, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 42.23, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 14.43, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 42.23, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}], "standard_charges": [{"minimum": 11.98, "maximum": 23.96, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 12.28, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12.34, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 12.58, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 23.96, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 11.98, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IA", "code_information": [{"code": "87301", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS 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"CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS AG IF", "code_information": [{"code": "87260", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for 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"Medicare", "standard_charge_dollar": 35.97, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 507.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 507.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 507.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 120.07, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 358.21, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 393.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 443.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 456.48, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 570.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 330.94, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 342.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 435.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 120.07, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 435.55, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 253.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 117.73, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 245.35, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 376.59, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 36.14, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 614.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 493.88, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 36.84, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 538.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 595.96, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 570.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 117.73, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 70.18, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 35.09, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 570.6, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 380.4, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 557.92, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 614.98, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": 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[{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ANTIBODY", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ANTIBODY", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", 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"AMPS", "plan_name": "All Plans", "standard_charge_dollar": 27.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 25.87, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 13.19, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", 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"standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 21.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 22.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Caresource North 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"Medicare HMO", "standard_charge_dollar": 13.51, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 35.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 39.48, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7.79, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 36.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 40.74, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 28.26, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ANTIBODY IGM", "code_information": [{"code": "86603", "type": "CPT"}, {"code": "FMC - 4001 - 302000096", "type": "CDM"}, {"code": "302", "type": "RC"}], "standard_charges": [{"minimum": 7.79, "maximum": 40.74, "gross_charge": 42.0, "discounted_cash": 25.2, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 27.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 25.87, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 13.19, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 33.6, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 23.73, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 26.04, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 29.4, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 30.24, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 21.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 22.68, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 28.85, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 16.8, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 7.79, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 16.25, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 24.94, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 13.26, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 40.74, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 32.71, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13.51, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 35.7, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 39.48, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 7.79, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 25.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 37.8, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 25.2, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 36.96, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 40.74, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 28.26, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12.87, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 7.95, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}], "standard_charges": [{"minimum": 21.76, "maximum": 43.52, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 22.3, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 21.76, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 22.41, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 21.76, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 22.85, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 43.52, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 21.76, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 21.76, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS ASSAY W/OPTIC", "code_information": [{"code": "87809", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS QPCR (BAL)", "code_information": [{"code": "87799", "type": "CPT"}, {"code": "FMC - 4001 - 306000285", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 42.84, "maximum": 1196.98, "gross_charge": 1234.0, "discounted_cash": 740.4, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 802.1, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 987.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 760.14, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 987.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 43.91, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 987.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 987.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 987.2, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 233.71, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 697.21, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 863.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 863.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 863.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 765.08, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 863.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 888.48, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 1110.6, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 644.14, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 666.36, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 847.75, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 233.71, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 847.75, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 493.6, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 229.15, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 477.55, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 732.99, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 44.13, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 1196.98, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 961.28, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 44.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 1048.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 1159.96, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 1110.6, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 229.15, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid 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"standard_charge_dollar": 1762.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 43.91, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 1762.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 1762.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 1762.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 417.24, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 1244.69, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 1542.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 1542.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 1542.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 1365.86, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 1542.1, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 1586.16, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 1982.7, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 1149.96, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 1189.62, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 1513.46, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 417.24, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 1513.46, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 881.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 409.09, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 852.56, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 1308.58, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 44.13, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 2136.91, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 1716.13, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 44.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 1872.55, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 2070.82, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 1982.7, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 409.09, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 85.68, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 1982.7, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 1321.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 1938.64, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 2136.91, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 1482.61, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 417.24, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 417.24, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADENOVIRUS QUANT PCR", "code_information": [{"code": "87799", "type": "CPT"}, {"code": "FMC - 4702 - 306000260", "type": "CDM"}, {"code": "306", "type": "RC"}], "standard_charges": [{"minimum": 42.84, "maximum": 841.96, "gross_charge": 868.0, "discounted_cash": 520.8, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "standard_charge_dollar": 564.2, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "ACA", "standard_charge_dollar": 694.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_dollar": 534.68, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "First Health", "standard_charge_dollar": 694.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 43.91, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "standard_charge_dollar": 694.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "standard_charge_dollar": 694.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "standard_charge_dollar": 694.4, "methodology": "fee schedule"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 164.39, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "standard_charge_dollar": 490.42, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 607.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 607.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 607.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 538.16, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 607.6, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 624.96, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "standard_charge_dollar": 781.2, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 453.09, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 468.72, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 596.31, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 164.39, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 596.31, "methodology": "fee schedule"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "standard_charge_dollar": 347.2, "methodology": "fee schedule"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "standard_charge_dollar": 161.18, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 335.91, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 515.59, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 44.13, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "standard_charge_dollar": 841.96, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Commercial", "standard_charge_dollar": 676.17, "methodology": "fee schedule"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 44.98, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "standard_charge_dollar": 737.8, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "standard_charge_dollar": 815.92, "methodology": "fee schedule"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "standard_charge_dollar": 781.2, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 161.18, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 85.68, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "standard_charge_dollar": 781.2, "methodology": "fee schedule"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "standard_charge_dollar": 520.8, "methodology": "fee schedule"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "standard_charge_dollar": 763.84, "methodology": "fee schedule"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "standard_charge_dollar": 841.96, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 584.16, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 164.39, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 42.84, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 164.39, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESIOLYSIS TUBE OVARY", "code_information": [{"code": "58740", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADHESION BARRIER", "code_information": [{"code": "C1765", "type": "HCPCS"}], "standard_charges": [{"estimated_discounted_cash": 2420.51, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 7037.52, "maximum": 14075.04, "estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 7213.46, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 7248.65, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 7389.4, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 14075.04, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 7037.52, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "360", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "361", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "369", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "490", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "499", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "750", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "761", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADJMT/REVJ EXT FIXJ SYS ANES", "code_information": [{"code": "20693", "type": "CPT"}, {"code": "790", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 3740.0, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 36.34, "maximum": 72.68, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 37.25, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 37.43, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 38.16, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 72.68, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 36.34, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 427.66, "maximum": 855.32, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 438.35, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 427.66, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 440.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 427.66, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 449.04, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 855.32, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 427.66, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 427.66, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "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": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN HEPATITIS B VACCINE", "code_information": [{"code": "G0010", "type": "HCPCS"}], "standard_charges": [{"minimum": 45.41, "maximum": 90.82, "estimated_discounted_cash": 92.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 46.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 46.77, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 47.68, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 90.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN INFLUENZA VIRUS VAC", "code_information": [{"code": "G0008", "type": "HCPCS"}], "standard_charges": [{"minimum": 45.41, "maximum": 90.82, "estimated_discounted_cash": 93.34, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 46.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 46.77, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 47.68, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 90.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 19.15, "count": "1 through 10", "median_amount": 19.15, "methodology": "percent of total billed charges", "10th_percentile": 19.15, "90th_percentile": 19.15}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMIN PNEUMOCOCCAL VACCINE", "code_information": [{"code": "G0009", "type": "HCPCS"}], "standard_charges": [{"minimum": 45.41, "maximum": 90.82, "estimated_discounted_cash": 91.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 46.55, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 46.77, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 47.68, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 90.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 45.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADMN SARSCOV2 VACC 1 DOSE", "code_information": [{"code": "90480", "type": "CPT"}], "standard_charges": [{"minimum": 39.41, "maximum": 78.82, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 40.4, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 39.41, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 40.59, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 39.41, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 41.38, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 78.82, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 39.41, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 39.41, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 3436.92, "maximum": 6873.84, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3522.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3540.03, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3608.77, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6873.84, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 3436.92, "maximum": 6873.84, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 3522.84, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 3540.03, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 3608.77, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 6873.84, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 3436.92, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 16698.37, "maximum": 52605.39, "estimated_discounted_cash": 160723.38, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 20047.76, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 17030.55, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 36171.28, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 19558.79, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 37343.89, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 47391.1, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 17030.55, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 47391.1, "methodology": "case rate"}, {"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": 16698.37, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 24592.0, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 52605.39, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 20145.55, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 19558.79, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 20536.73, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 16698.37, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 39117.58, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 19558.79, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 50994.42, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 17030.55, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 19558.79, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 17030.55, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC", "code_information": [{"code": "615", "type": "MS-DRG"}], "standard_charges": [{"minimum": 12486.82, "maximum": 33584.6, "estimated_discounted_cash": 70340.45, "setting": "inpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 12798.99, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_dollar": 16218.98, "methodology": "fee schedule"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "standard_charge_dollar": 23092.65, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 12486.82, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "standard_charge_dollar": 23841.27, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_dollar": 30255.66, "methodology": "case rate"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_dollar": 16218.98, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_dollar": 30255.66, "methodology": "case rate"}, {"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": 15902.63, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "ACA", "standard_charge_dollar": 15700.15, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 33584.6, "methodology": "case rate"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 12861.42, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 12486.82, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 13111.16, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 95.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "standard_charge_dollar": 15902.63, "methodology": "fee schedule"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 24973.64, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 12486.82, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 32556.11, "methodology": "case rate"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_dollar": 16218.98, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 12486.82, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_dollar": 16218.98, "methodology": "fee schedule"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}], "standard_charges": [{"minimum": 341.02, "maximum": 2511.26, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1287.02, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "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": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1293.3, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1318.41, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 2511.26, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1255.63, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "340", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "341", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "342", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "343", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "344", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRENAL CORTEX & MEDULLA IMG", "code_information": [{"code": "78075", "type": "CPT"}, {"code": "349", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 1305.37, "maximum": 2610.74, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 1338.0, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 1305.37, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 1344.53, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 1305.37, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 1370.64, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 2610.74, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 1305.37, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 1305.37, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "ADRNL CORTCL TUM BCHM ASY 25", "code_information": [{"code": "15M", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 98.53, "maximum": 197.06, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 100.99, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 101.49, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 103.46, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 197.06, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 98.53, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 209.42, "maximum": 418.84, "estimated_discounted_cash": 592.27, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 214.66, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 128.15, "count": "1 through 10", "median_amount": 128.15, "methodology": "percent of total billed charges", "10th_percentile": 128.15, "90th_percentile": 128.15}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 209.42, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 355.12, "count": "1 through 10", "median_amount": 355.12, "methodology": "percent of total billed charges", "10th_percentile": 355.12, "90th_percentile": 355.12}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 215.7, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 209.42, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 219.89, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 418.84, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 209.42, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 123.31, "count": "1 through 10", "median_amount": 123.31, "methodology": "percent of total billed charges", "10th_percentile": 123.31, "90th_percentile": 123.31}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 209.42, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 120.82, "count": "1 through 10", "median_amount": 123.31, "methodology": "percent of total billed charges", "10th_percentile": 111.0, "90th_percentile": 128.15}], "billing_class": "facility"}]}, {"description": "AEP SCR AUDITORY POTENTIAL", "code_information": [{"code": "92650", "type": "CPT"}], "standard_charges": [{"estimated_discounted_cash": 312.74, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "standard_charge_percentage": 61.6, "possible_amount": 120.17, "count": "1 through 10", "median_amount": 60.8, "methodology": "percent of total billed charges", "10th_percentile": 60.8, "90th_percentile": 179.53}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total 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": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "AmeriHealth", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 64.77, "count": "1 through 10", "median_amount": 63.19, "methodology": "percent of total billed charges", "10th_percentile": 60.8, "90th_percentile": 67.54}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 187.25, "count": "1 through 10", "median_amount": 187.25, "methodology": "percent of total billed charges", "10th_percentile": 187.25, "90th_percentile": 187.25}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 65.8, "count": "16", "median_amount": 64.71, "methodology": "percent of total billed charges", "10th_percentile": 64.71, "90th_percentile": 66.88}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 187.25, "count": "1 through 10", "median_amount": 187.25, "methodology": "percent of total billed charges", "10th_percentile": 187.25, "90th_percentile": 187.25}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_percentage": 59.4, "possible_amount": 152.07, "count": "1 through 10", "median_amount": 187.25, "methodology": "percent of total billed charges", "10th_percentile": 63.19, "90th_percentile": 187.25}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_percentage": 67.3, "possible_amount": 216.17, "count": "1 through 10", "median_amount": 216.03, "methodology": "percent of total billed charges", "10th_percentile": 216.03, "90th_percentile": 216.3}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 67.54, "count": "1 through 10", "median_amount": 67.54, "methodology": "percent of total billed charges", "10th_percentile": 67.54, "90th_percentile": 67.54}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "standard_charge_percentage": 18.94, "possible_amount": 63.25, "count": "31", "median_amount": 65.02, "methodology": "percent of total billed charges", "10th_percentile": 58.53, "90th_percentile": 67.55}], "billing_class": "facility"}]}, {"description": "AEROSOL INHALATION TREATMENT", "code_information": [{"code": "94642", "type": "CPT"}], "standard_charges": [{"minimum": 25.8, "maximum": 424.76, "estimated_discounted_cash": 980.25, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 217.69, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "standard_charge_dollar": 29.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "standard_charge_dollar": 29.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "standard_charge_dollar": 29.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "standard_charge_dollar": 25.8, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "standard_charge_dollar": 29.13, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "standard_charge_dollar": 29.97, "methodology": "fee schedule"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 212.38, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "standard_charge_percentage": 68.7, "possible_amount": 397.77, "count": "1 through 10", "median_amount": 397.77, "methodology": "percent of total billed charges", "10th_percentile": 397.77, "90th_percentile": 397.77}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "standard_charge_percentage": 68.7, "possible_amount": 397.77, "count": "1 through 10", "median_amount": 397.77, "methodology": "percent of total billed charges", "10th_percentile": 397.77, "90th_percentile": 397.77}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 218.75, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 212.38, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 223.0, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 424.76, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 212.38, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 212.38, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEROSOL INHALATION TREATMENT", "code_information": [{"code": "94642", "type": "CPT"}, {"code": "410", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 980.25, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEROSOL INHALATION TREATMENT", "code_information": [{"code": "94642", "type": "CPT"}, {"code": "412", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 980.25, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEROSOL INHALATION TREATMENT", "code_information": [{"code": "94642", "type": "CPT"}, {"code": "413", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 980.25, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AEROSOL INHALATION TREATMENT", "code_information": [{"code": "94642", "type": "CPT"}, {"code": "419", "type": "RC"}], "standard_charges": [{"estimated_discounted_cash": 980.25, "setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFAMELANOTIDE IMPLANT, 1 MG", "drug_information": {"unit": 1.0, "type": "EA"}, "code_information": [{"code": "J7352", "type": "HCPCS"}], "standard_charges": [{"minimum": 2794.19, "maximum": 6019.05, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 2864.04, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 2794.19, "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": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "Commercial", "standard_charge_dollar": 6019.05, "methodology": "fee schedule"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 2878.02, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 2794.19, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 2933.9, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 5588.38, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 2794.19, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "standard_charge_dollar": 3590.97, "methodology": "fee schedule"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 2794.19, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "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": [{"minimum": 137.0, "maximum": 274.0, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 140.43, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 137.0, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 141.11, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 137.0, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 143.85, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 274.0, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 137.0, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 137.0, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "301", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "302", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "303", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "304", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "305", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "306", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "307", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "309", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "310", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "311", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "312", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "314", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALY DETC ABNL ALLEL", "code_information": [{"code": "81171", "type": "CPT"}, {"code": "319", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "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": [{"minimum": 274.83, "maximum": 549.66, "setting": "outpatient", "payers_information": [{"payer_name": "AMPS", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 65.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 61.6, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "First Health", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Medicare", "standard_charge_dollar": 281.7, "methodology": "fee schedule"}, {"payer_name": "Aetna", "plan_name": "Non-Par Products of APCN", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Rental Network Products", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Aetna", "plan_name": "Whole Health Non-Multitier", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 80.0, "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": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Atlantic Corporation DBA Atlantic Packaging", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 56.5, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Advantage65", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueCare", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueChoice", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueMedicare PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueOptions", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "BlueSelect", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "CoverFL", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Essential Network", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "FEP", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "GoBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 62.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "NetworkBlue", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 70.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPC", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "BCBSFL", "plan_name": "Traditional (PPSPHS)", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 72.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Beechstreet", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Home", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 52.2, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Blue Cross NC", "plan_name": "Blue Value", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 54.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "HMO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "Healthy Blue Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Blue Cross NC", "plan_name": "PPO", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 68.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Caresource North Carolina", "plan_name": "Qualified Health Plan", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 40.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Carolina Complete", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "ACA", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 38.7, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Cigna", "plan_name": "HealthSpring", "standard_charge_dollar": 283.07, "methodology": "fee schedule"}, {"payer_name": "Employers Choice Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 77.9, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Humana", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Liberty Health", "plan_name": "Medicare HMO", "standard_charge_dollar": 288.57, "methodology": "fee schedule"}, {"payer_name": "Medcost", "plan_name": "MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 85.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Medcost", "plan_name": "non-MBS", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 94.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Multiplan", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Medicaid eligible Offenders", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.57, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "NC Department of Public Safety", "plan_name": "Offenders Not Medicaid eligible", "standard_charge_dollar": 549.66, "methodology": "fee schedule"}, {"payer_name": "Pace of the Southern Piedmont", "plan_name": "All Plans", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Phcs", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 90.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Plotkin Health", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 60.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Primary Physician Care", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 88.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "Three Rivers Provider Network", "plan_name": "All Plans", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 97.0, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "All Payer", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 67.3, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}, {"payer_name": "United Healthcare", "plan_name": "Medicare", "standard_charge_dollar": 274.83, "methodology": "fee schedule"}, {"payer_name": "Wellcare", "plan_name": "Medicaid", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 18.94, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALYS CHARAC ALLELES", "code_information": [{"code": "81172", "type": "CPT"}, {"code": "300", "type": "RC"}], "standard_charges": [{"setting": "outpatient", "payers_information": [{"payer_name": "Cigna", "plan_name": "Commercial", "additional_payer_notes": "No historical data found for payer/plan and coding combination", "standard_charge_percentage": 59.4, "count": "0", "methodology": "percent of total billed charges"}], "billing_class": "facility"}]}, {"description": "AFF2 GEN ALYS CHARAC ALLELES", "code_information": [{"code": "81172", "type": "CPT"}, {"code": "301", "type"