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"IMFINZI", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J9173", "description": "IMFINZI", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 14214.75, "providers": [{"billed_charge": 33300, "npi": [1881666477]}]}, {"allowed_amount": 14234.55, "providers": [{"billed_charge": 33300, "npi": [1881666477]}]}]}]}, {"name": "Magnesium Sulfate", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J3475", "description": "Magnesium Sulfate", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0.9, "providers": [{"billed_charge": 12, "npi": [1881666477]}]}]}]}, {"name": "Ondansetron", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J2405", "description": "Ondansetron", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0.79, "providers": [{"billed_charge": 64, "npi": [1881666477]}]}]}]}, {"name": "Palonosetron", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J2469", "description": "Palonosetron", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 3.85, "providers": [{"billed_charge": 1140, "npi": [1881666477]}]}, {"allowed_amount": 7.15, "providers": [{"billed_charge": 1140, "npi": [1881666477]}]}]}]}, {"name": "Potassium Chloride", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J3480", "description": "Potassium Chloride", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0.72, "providers": [{"billed_charge": 5, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 80048", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "80048", "description": "Procedure Code 80048", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 9.31, "providers": [{"billed_charge": 49, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 80053", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "80053", "description": "Procedure Code 80053", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 11.62, "providers": [{"billed_charge": 64, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 80076", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "80076", "description": "Procedure Code 80076", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 8.99, "providers": [{"billed_charge": 48, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 83615", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "83615", "description": "Procedure Code 83615", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 6.64, "providers": [{"billed_charge": 31, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 85025", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "85025", "description": "Procedure Code 85025", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 8.55, "providers": [{"billed_charge": 36, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96360", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96360", "description": "Procedure Code 96360", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 35.17, "providers": [{"billed_charge": 256, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96361", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96361", "description": "Procedure Code 96361", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 13.75, "providers": [{"billed_charge": 75, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96365", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96365", "description": "Procedure Code 96365", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 70.41, "providers": [{"billed_charge": 313, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96367", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96367", "description": "Procedure Code 96367", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 31.37, "providers": [{"billed_charge": 157, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96372", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96372", "description": "Procedure Code 96372", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96375", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96375", "description": "Procedure Code 96375", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}, {"allowed_amount": 16.56, "providers": [{"billed_charge": 108, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96377", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96377", "description": "Procedure Code 96377", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "billing_code_modifier": ["59"], "payments": [{"allowed_amount": 20.17, "providers": [{"billed_charge": 96, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96413", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96413", "description": "Procedure Code 96413", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}, {"allowed_amount": 139.52, "providers": [{"billed_charge": 707, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96415", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96415", "description": "Procedure Code 96415", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 96417", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "96417", "description": "Procedure Code 96417", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}, {"allowed_amount": 139.46, "providers": [{"billed_charge": 688, "npi": [1881666477]}]}]}]}, {"name": "Procedure Code 99214", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "99214", "description": "Procedure Code 99214", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 144.93, "providers": [{"billed_charge": 368, "npi": [1881666477]}]}]}]}, {"name": "Sodium Chloride", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "J7030", "description": "Sodium Chloride", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 2.41, "providers": [{"billed_charge": 19, "npi": [1881666477]}]}, {"allowed_amount": 8.98, "providers": [{"billed_charge": 76, "npi": [1881666477]}]}]}]}, {"name": "UDENYCA", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "Q5111", "description": "UDENYCA", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 1793.75, "providers": [{"billed_charge": 10524, "npi": [1881666477]}]}]}]}, {"name": "ZARXIO", "billing_code_type": "CPT", "billing_code_type_version": "2.1.0", "billing_code": "Q5101", "description": "ZARXIO", "allowed_amounts": [{"tin": {"type": "ein", "value": "751461254"}, "service_code": ["11"], "billing_class": "professional", "payments": [{"allowed_amount": 0, "providers": [{"billed_charge": 0, "npi": [1881666477]}]}]}]}]}