{"reporting_entity_name":"Blue Shield of California","reporting_entity_type":"Health Insurance Issuer","last_updated_on":"2026-07-15","version":"2.0.0","provider_references":[{"provider_group_id":2537,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1578672184],"tin":{"type":"ein","value":"23-7064656","business_name":"UC SAN DIEGO HEALTH - MEDICAL GROUP - TRIO"}},{"npi":[1013035716],"tin":{"type":"ein","value":"33-0541971","business_name":"UCSD PEDIATRIC ASSOCIATES"}},{"npi":[1619431244],"tin":{"type":"ein","value":"38-4101192","business_name":"UC SAN DIEGO HEALTH-ONE MEDICAL CARLSBAD"}},{"npi":[1578672184],"tin":{"type":"ein","value":"61-1745574","business_name":"UCSD PHYSICIAN NETWORK - TRIO"}},{"npi":[1871377333],"tin":{"type":"ein","value":"82-1648830","business_name":"UCSD HEALTH NETWORK IPA"}},{"npi":[1871062927],"tin":{"type":"ein","value":"83-2310783","business_name":"UC SAN DIEGO HEALTH-MONICA PERLMAN CLINIC"}}]},{"provider_group_id":2538,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1982880118],"tin":{"type":"ein","value":"26-1766141","business_name":"SUPERIOR CHOICE MEDICAL GROUP"}}]},{"provider_group_id":2539,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1205167350],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":2540,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1518951300,1962442012,1992724959],"tin":{"type":"ein","value":"27-1504911","business_name":"EDINGER MEDICAL GROUP"}}]},{"provider_group_id":2541,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1487075578,1649503319],"tin":{"type":"ein","value":"27-2767291","business_name":"ALLIANCE DESERT PHYSICIANS"}}]},{"provider_group_id":2542,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1346252533],"tin":{"type":"ein","value":"33-0073515","business_name":"TORRANCE MEMORIAL IPA"}}]},{"provider_group_id":2543,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1285616177],"tin":{"type":"ein","value":"33-0106028","business_name":"SHARP REES STEALY MEDICAL GROUP INC"}}]},{"provider_group_id":2544,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1376583344],"tin":{"type":"ein","value":"33-0184827","business_name":"ALAMITOS IPA"}}]},{"provider_group_id":2545,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1609925957,1871607762],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":2546,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1770537466],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":2547,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1871607762],"tin":{"type":"ein","value":"33-0185031","business_name":"HOAG AFFILIATED PHYSICIANS"}}]},{"provider_group_id":2548,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1790730786],"tin":{"type":"ein","value":"33-0204654","business_name":"MY FAMILY MEDICAL GROUP"}}]},{"provider_group_id":2549,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1124149612],"tin":{"type":"ein","value":"33-0219957","business_name":"CAL-CARE IPA"}}]},{"provider_group_id":2550,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1851092035],"tin":{"type":"ein","value":"33-0219957","business_name":"CAL-CARE IPA"}}]},{"provider_group_id":2551,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1336280940],"tin":{"type":"ein","value":"33-0372617","business_name":"GRAYBILL"}}]},{"provider_group_id":2552,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1821018433],"tin":{"type":"ein","value":"33-0455953","business_name":"CHOICE MEDICAL GROUP APPLE VALLEY"}}]},{"provider_group_id":2553,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1922127422],"tin":{"type":"ein","value":"33-0457134","business_name":"OPTUM CARE NETWORK - SDPMG"}}]},{"provider_group_id":2554,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1184782724],"tin":{"type":"ein","value":"33-0527335","business_name":"OPTUM CARE NETWORK - NORTH COUNTY SD"}}]},{"provider_group_id":2555,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1043433220],"tin":{"type":"ein","value":"33-0548927","business_name":"AMVI MEDICAL GROUP"}}]},{"provider_group_id":2556,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1770655847],"tin":{"type":"ein","value":"33-0556584","business_name":"ALPHA CARE MEDICAL GROUP"}}]},{"provider_group_id":2557,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1518114677],"tin":{"type":"ein","value":"33-0573709","business_name":"HEMET COM MED GRP PRIME PART PRIME PARTNERS"}}]},{"provider_group_id":2558,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1730180415],"tin":{"type":"ein","value":"33-0587303","business_name":"RIVERSIDE MEDICAL CLINIC INC"}}]},{"provider_group_id":2559,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1841290228],"tin":{"type":"ein","value":"33-0587660","business_name":"OPTUM CARE NETWORK - MONARCH"}}]},{"provider_group_id":2560,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1750454260],"tin":{"type":"ein","value":"33-0607478","business_name":"OPTUM CARE NETWORK - DESERT CITIES"}}]},{"provider_group_id":2561,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1619190881],"tin":{"type":"ein","value":"33-0608012","business_name":"FAMILY HEALTH ALLIANCE"}}]},{"provider_group_id":2562,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1154440527],"tin":{"type":"ein","value":"33-0616028","business_name":"IMPERIAL COUNTY PHYSICIANS MEDICAL GROUP"}}]},{"provider_group_id":2563,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1619049798],"tin":{"type":"ein","value":"33-0664380","business_name":"FAMILY CHOICE MEDICAL GROUP"}}]},{"provider_group_id":2564,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1801848452],"tin":{"type":"ein","value":"33-0674406","business_name":"DESERT VALLEY MEDICAL GROUP"}}]},{"provider_group_id":2565,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1942799523],"tin":{"type":"ein","value":"33-0676831","business_name":"HOAG MEDICAL GROUP"}}]},{"provider_group_id":2566,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1407058787],"tin":{"type":"ein","value":"33-0678022","business_name":"UCI UNIVERSITY PHYSICIANS AND SURGEONS"}}]},{"provider_group_id":2567,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1689797342],"tin":{"type":"ein","value":"33-0724304","business_name":"PHYSICIAN CHOICE MED GRP OF SAN LUIS OBISPO"}}]},{"provider_group_id":2568,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1134252802,1881636108],"tin":{"type":"ein","value":"33-0782099","business_name":"SCRIPPS CLINIC MEDICAL GROUP"}},{"npi":[1891175444],"tin":{"type":"ein","value":"94-2722082","business_name":"OPTUM CARE NETWORK - GREATER BAY AREA"}}]},{"provider_group_id":2569,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1528279080],"tin":{"type":"ein","value":"33-0845270","business_name":"GREATER TRI CITIES IPA"}}]},{"provider_group_id":2570,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1386721934],"tin":{"type":"ein","value":"33-0865659","business_name":"SEAVIEW IPA"}}]},{"provider_group_id":2571,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1902697832],"tin":{"type":"ein","value":"33-4465522","business_name":"RINCON HEALTH NETWORK"}}]},{"provider_group_id":2572,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1700803418],"tin":{"type":"ein","value":"34-1996544","business_name":"MERCY MEDICAL GROUP"}}]},{"provider_group_id":2573,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1477074474],"tin":{"type":"ein","value":"35-2567959","business_name":"DIGNITY HEALTH MEDICAL NETWORK - SANTA CRUZ"}}]},{"provider_group_id":2574,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1316219868],"tin":{"type":"ein","value":"45-0518247","business_name":"REDLANDS YUCAIPA MEDICAL GROUP"}}]},{"provider_group_id":2575,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1790122083],"tin":{"type":"ein","value":"45-2805224","business_name":"CENTRAL VALLEY MEDICAL PROVIDERS INC"}}]},{"provider_group_id":2576,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[9999999999],"tin":{"type":"ein","value":"46-1567681","business_name":"ASPIRE HEALTH PLAN"}}]},{"provider_group_id":2577,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1407293814],"tin":{"type":"ein","value":"46-1870181","business_name":"MEMORIALCARE SELECT HEALTH PLAN"}}]},{"provider_group_id":2578,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1659312593,1851599369],"tin":{"type":"ein","value":"46-2385459","business_name":"HARRIMAN JONES MED GRP A DIV HEALTHCARE PARTNERS"}}]},{"provider_group_id":2579,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1235502360],"tin":{"type":"ein","value":"46-3096217","business_name":"DAEHAN PROSPECT MEDICAL GROUP INC"}}]},{"provider_group_id":2580,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1811421670],"tin":{"type":"ein","value":"46-5371819","business_name":"EMANATE HEALTH IPA"}}]},{"provider_group_id":2581,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1275657827],"tin":{"type":"ein","value":"47-3366764","business_name":"GEMCARE MEDICAL GROUP INC BAKERSFIELD REGION"}}]},{"provider_group_id":2582,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1720446255],"tin":{"type":"ein","value":"47-5605950","business_name":"ALL AMERICAN MEDICAL GROUP"}}]},{"provider_group_id":2583,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1144497678],"tin":{"type":"ein","value":"57-1205856","business_name":"WOODLAND CLINIC"}}]},{"provider_group_id":2584,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1184859894],"tin":{"type":"ein","value":"68-0273974","business_name":"SUTTER GOULD MEDICAL FOUNDATION"}}]},{"provider_group_id":2585,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1669846986],"tin":{"type":"ein","value":"68-0273974","business_name":"SUTTER GOULD MEDICAL FOUNDATION"}}]},{"provider_group_id":2586,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1952327256],"tin":{"type":"ein","value":"68-0273974","business_name":"SUTTER GOULD MEDICAL FOUNDATION"}}]},{"provider_group_id":2587,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1841407665],"tin":{"type":"ein","value":"68-0360801","business_name":"JOHN MUIR PHYSICIAN NETWORK"}}]},{"provider_group_id":2588,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1316023013],"tin":{"type":"ein","value":"77-0243333","business_name":"ALLCARE IPA"}}]},{"provider_group_id":2589,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1780746610],"tin":{"type":"ein","value":"77-0339753","business_name":"KEY MEDICAL GROUP"}}]},{"provider_group_id":2590,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1770614281],"tin":{"type":"ein","value":"77-0440790","business_name":"SANTA BARBARA SELECT IPA MED GRP INC"}}]},{"provider_group_id":2591,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1336438902],"tin":{"type":"ein","value":"81-4542216","business_name":"SAINT JOHNS PHYSICIAN PARTNERS"}}]},{"provider_group_id":2592,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1730794124],"tin":{"type":"ein","value":"85-2937808","business_name":"ELITE PHYSICIANS GROUP"}}]},{"provider_group_id":2593,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1508502782],"tin":{"type":"ein","value":"87-2160320","business_name":"ADVENTIST HEALTH CARE NETWORK-GLENDALE"}}]},{"provider_group_id":2594,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1003267196],"tin":{"type":"ein","value":"94-1156581","business_name":"PALO ALTO MED FOUNDATION CAMINO"}}]},{"provider_group_id":2595,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1013950807],"tin":{"type":"ein","value":"94-1156581","business_name":"PALO ALTO MED FOUNDATION CAMINO"}}]},{"provider_group_id":2596,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1013950807,1417003195],"tin":{"type":"ein","value":"94-1156581","business_name":"PALO ALTO MED FOUNDATION CAMINO"}}]},{"provider_group_id":2597,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1366898538],"tin":{"type":"ein","value":"94-1156581","business_name":"PALO ALTO MED FOUNDATION CAMINO"}}]},{"provider_group_id":2598,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1558396986],"tin":{"type":"ein","value":"94-1156581","business_name":"PALO ALTO MED FOUNDATION CAMINO"}}]},{"provider_group_id":2599,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1417052739],"tin":{"type":"ein","value":"94-2944896","business_name":"HILL PHYS MEDICAL GROUP SOLANO"}}]},{"provider_group_id":2600,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1902930381],"tin":{"type":"ein","value":"94-3008941","business_name":"SANTA CLARA CNTY IPA"}}]},{"provider_group_id":2601,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1265719033],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":2602,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1306049226],"tin":{"type":"ein","value":"94-3168453","business_name":"ALTA BATES MEDICAL GROUP"}}]},{"provider_group_id":2603,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1689708042],"tin":{"type":"ein","value":"94-3192446","business_name":"AFFINITY BAY VALLEY REGION"}}]},{"provider_group_id":2604,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1912982216],"tin":{"type":"ein","value":"95-1643359","business_name":"PROVIDENCE ST JOSEPH HOSPITAL"}}]},{"provider_group_id":2605,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1669617197],"tin":{"type":"ein","value":"95-1691313","business_name":"RADY CHILDRENS HEALTH NETWORK"}}]},{"provider_group_id":2606,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1003095464],"tin":{"type":"ein","value":"95-2810095","business_name":"ALTAMED HEALTH SERVICES"}}]},{"provider_group_id":2607,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1275655250],"tin":{"type":"ein","value":"95-3846788","business_name":"PREMIER PHYSICIAN NETWORK VALLEY DIVISION"}}]},{"provider_group_id":2608,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1588829006],"tin":{"type":"ein","value":"95-3942828","business_name":"PIH HEALTH PHYSICIANS WHITTIER"}}]},{"provider_group_id":2609,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1902903388],"tin":{"type":"ein","value":"95-4142044","business_name":"POMONA VALLEY MED GRP INC DBA PRO MED HLTH NWK"}}]},{"provider_group_id":2610,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1457548091],"tin":{"type":"ein","value":"95-4247138","business_name":"BLUE ZONES HEALTH OF CA - LA"}}]},{"provider_group_id":2611,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1457548091,1790561405],"tin":{"type":"ein","value":"95-4247138","business_name":"BLUE ZONES HEALTH OF CA - LA"}}]},{"provider_group_id":2612,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1801929757],"tin":{"type":"ein","value":"95-4298276","business_name":"HEALTH CARE LA IPA"}}]},{"provider_group_id":2613,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1710031588],"tin":{"type":"ein","value":"95-4322584","business_name":"FACEY MED FOUND SAN FERNANDO VALLEY"}}]},{"provider_group_id":2614,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1225080864],"tin":{"type":"ein","value":"95-4337143","business_name":"HEALTH NOW IPA"}}]},{"provider_group_id":2615,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1124172358],"tin":{"type":"ein","value":"95-4365761","business_name":"ASSOCIATED HISPANIC PHYS IPA"}}]},{"provider_group_id":2616,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1114212685],"tin":{"type":"ein","value":"95-4367156","business_name":"CITRUS VALLEY PHYS GRP"}}]},{"provider_group_id":2617,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1043427248],"tin":{"type":"ein","value":"95-4377219","business_name":"UCLA MEDICAL GROUP"}}]},{"provider_group_id":2618,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1477760940],"tin":{"type":"ein","value":"95-4385217","business_name":"ALLIED PACIFIC OF CALIF IPA"}}]},{"provider_group_id":2619,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1326171265],"tin":{"type":"ein","value":"95-4439760","business_name":"GLOBAL CARE MEDICAL GROUP"}}]},{"provider_group_id":2620,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1457548604],"tin":{"type":"ein","value":"95-4449869","business_name":"OMNICARE MEDICAL GROUP"}}]},{"provider_group_id":2621,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1093844656],"tin":{"type":"ein","value":"95-4457453","business_name":"BELLA VISTA MEDICAL GROUP IPA"}}]},{"provider_group_id":2622,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1316984388],"tin":{"type":"ein","value":"95-4457756","business_name":"CEDARS SINAI HLTH ASSOCS"}}]},{"provider_group_id":2623,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1629291810],"tin":{"type":"ein","value":"95-4469504","business_name":"SEOUL MEDICAL GROUP"}}]},{"provider_group_id":2624,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1619187978],"tin":{"type":"ein","value":"95-4535099","business_name":"ANGELES IPA"}}]},{"provider_group_id":2625,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1477677961],"tin":{"type":"ein","value":"95-4582615","business_name":"FAMILY CARE SPEC MONTEBELLO"}}]},{"provider_group_id":2626,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1013912641,1275735011,1487768891,1588748073,1609089705,1720196702,1780832972,1831426642],"tin":{"type":"ein","value":"95-4582920","business_name":"AFFILIATED DRS OF ORANGE CTY"}}]},{"provider_group_id":2627,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1124027529],"tin":{"type":"ein","value":"95-4634826","business_name":"GREATER COVINA MEDICAL GROUP INC"}}]},{"provider_group_id":2628,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1942293279],"tin":{"type":"ein","value":"95-4714494","business_name":"AXMINSTER MED GRP LITTLE CO OF MARY IPA TORRANCE"}}]},{"provider_group_id":2629,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1225172984],"tin":{"type":"ein","value":"95-4729595","business_name":"ST VINCENT IPA MED CORP"}}]},{"provider_group_id":2630,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1164552378],"tin":{"type":"ein","value":"95-4730100","business_name":"CENTINELA VALLEY IPA"}}]},{"provider_group_id":2631,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1427093236],"tin":{"type":"ein","value":"95-4786125","business_name":"SERRA COMMUNITY MEDICAL CLINIC INC"}}]},{"provider_group_id":2632,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1881805349],"tin":{"type":"ein","value":"95-4827390","business_name":"NOBLE AMA IPA"}}]},{"provider_group_id":2633,"network_name":["Access+ HMO"],"provider_groups":[{"npi":[1932121514],"tin":{"type":"ein","value":"95-6419205","business_name":"SANSUM CLINIC CENTRAL"}}]}],"in_network":[{"negotiation_arrangement":"capitation","name":"PMPM","description":"Per Member Per Month","billing_code_type":"CSTM-ALL","billing_code_type_version":"2026","billing_code":"CSTM-00","severity_of_illness":"","negotiated_rates":[{"provider_references":[2537],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":163.7,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2538],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":60.45,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2539],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":180.05,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2540],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":161.74,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2541],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":179.04,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2542],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":146.4,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2543],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":231.62,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2544],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":92.18,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2545],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":142.75,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2546],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":96.42,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2547],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":171.31,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2548],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":82.94,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2549],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":125.86,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2550],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":142.73,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2551],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":167.56,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":195.43,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2552],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":93.01,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":93.99,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2553],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":134.97,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2554],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":172.22,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2555],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":87.54,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2556],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":97.2,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2557],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":85.28,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2558],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":174.34,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2559],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":150.49,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2560],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":154.26,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2561],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":99.7,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2562],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":172.19,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2563],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":81.31,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2564],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":84.38,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2565],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":150.02,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2566],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":208.9,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2567],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":137.52,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2568],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":168.93,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2569],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":122.84,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2570],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":166.44,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2571],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":143.73,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2572],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":250.3,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2573],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":218.05,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2574],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":166.55,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2575],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":135.07,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2576],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":200.54,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2577],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":145.1,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2578],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":171.75,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2579],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":124.73,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":126.54,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2580],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":100.66,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2581],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":160.07,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2582],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":163.04,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2583],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":263.39,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2584],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":228.78,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2585],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":218.61,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2586],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":217.48,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2587],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":224.91,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2588],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":155.49,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":163.67,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2589],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":187.55,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2590],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":164.53,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2591],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":154.99,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2592],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":111.56,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2593],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":102.12,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2594],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":224.55,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2595],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":215.03,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":231.11,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2596],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":246.5,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2597],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":232.26,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2598],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":228.4,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2599],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":203.41,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":209.58,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":209.69,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":218.77,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":221.67,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2600],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":174.19,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2601],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":197.77,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2602],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":174.9,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2603],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":193.84,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2604],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":212.26,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"institutional"}]},{"provider_references":[2605],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":233.2,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2606],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":119.07,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2607],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":78.69,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"},{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":89.36,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2608],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":167.09,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2609],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":161.45,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2610],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":129.91,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2611],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":105.92,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2612],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":96.27,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2613],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":161.96,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2614],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":92.16,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2615],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":61.78,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2616],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":110.01,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2617],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":198.64,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2618],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":118.71,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2619],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":99.23,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2620],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":88.87,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2621],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":89.3,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2622],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":150.04,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2623],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":83.29,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2624],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":82.39,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2625],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":91.66,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2626],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":170.92,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2627],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":106.83,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2628],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":142.74,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2629],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":87.94,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2630],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":87.41,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2631],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":109.78,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2632],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":97.14,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]},{"provider_references":[2633],"negotiated_prices":[{"setting":"Both","negotiated_type":"negotiated","negotiated_rate":247.13,"expiration_date":"9999-12-31","service_code":["CSTM-00"],"billing_class":"professional"}]}],"covered_services":[{"billing_code_type":"CSTM-ALL","billing_code_type_version":"2026","billing_code":"CSTM-00","description":"Per Member Per Month"}]}]}