{
  "hospital_name": "UNITY PSYCHIATRIC CARE",
  "last_updated_on": "2026-03-31",
  "version": "2.0.0",
  "hospital_location": [
    "UNITY PSYCHIATRIC CARE HUNTSVILLE"
  ],
  "hospital_address": [
    "5315 Millennium Dr NW, Huntsville, AL  35806"
  ],
  "license_information": {
    "license_number": "H4505",
    "state": "AL"
  },
  "affirmation": {
    "affirmation": "To the best of its knowledge and belief, the 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 indicated.",
	"confirm_affirmation": true
  },
  "standard_charge_information": [
    {
      "DISCLAIMER": "Unity Psychiatric Care does not provide 300 shoppable services. Unity Psychiatric Care does not provide all 70 CMS-specific shoppable services. Contracts are reimbursed on a per-diem basis.",
	  "description": "Private Pay",
      "code_information": [
        {
          "code": "124",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "minimum": 1000,
          "maximum": 1000,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 844,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 844,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 850,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 844,
              "methodology": "per diem"
            }
          ]
        }
      ]
    },
    {
      "description": "Semi-Private Room Room/Board-Geri", 
	  "code_information": [
        {
          "code": "114",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "gross_charge": 745,
          "minimum": 745,
          "maximum": 745,
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 745,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 745,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 745,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 745,
              "methodology": "per diem"
			}
          ]
        }
      ]
    },
    {
      "description": "Private Room Room/Board- Geri",
      "code_information": [
        {
          "code": "114",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 760,
          "minimum": 760,
          "maximum": 760,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 760,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 760,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 760,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 760,
              "methodology": "per diem"
			}
          ]
        }
      ]
    },
    {
      "description": "Psychiatric Diagnostic Interview",
      "code_information": [
        {
          "code": "513",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 325,
          "minimum": 325,
          "maximum": 325,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 325,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 325,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 325,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 325,
              "methodology": "per diem"
			}
          ]
        }
      ]
    },
    {
      "description": "Individual Therapy up to 30 minutes",
      "code_information": [
        {
          "code": "914",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 135,
          "minimum": 135,
          "maximum": 135,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 135,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 135,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 135,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 135,
              "methodology": "per diem"
			}
          ]
        }
      ]
    },
    {
      "description": "Individual Therapy 45 to 50 minutes",
      "code_information": [
        {
          "code": "914",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 210,
          "minimum": 210,
          "maximum": 210,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 210,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 210,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 210,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 210,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
    {
      "description": "Family Therapy without the Patient",
      "code_information": [
        {
          "code": "916",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 277.5,
          "minimum": 277.5,
          "maximum": 277.5,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            }
          ]
        }
      ]
    },
    {
      "description": "Family Therapy With the Patient",
      "code_information": [
        {
          "code": "916",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 277.5,
          "minimum": 277.5,
          "maximum": 277.5,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 277.5,
              "methodology": "per diem"
            }
          ]
        }
      ]
    },
    {
      "description": "Group Therapy (exc.  Multi-Family)",
      "code_information": [
        {
          "code": "915",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 202.5,
          "minimum": 202.5,
          "maximum": 202.5,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 202.5,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 202.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 202.5,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 202.5,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
    {
      "description": "CMP",
      "code_information": [
        {
          "code": "301",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 29.55,
          "minimum": 29.55,
          "maximum": 29.55,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 29.55,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 29.55,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 29.55,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 29.55,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
    {
      "description": "CBC w/ auto",
      "code_information": [
        {
          "code": "305",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 26.65,
          "minimum": 26.65,
          "maximum": 26.65,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 26.65,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 26.65,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 26.65,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 26.65,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Hemoglobin A1C",
      "code_information": [
        {
          "code": "301",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 33.35,
          "minimum": 33.35,
          "maximum": 33.35,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 33.35,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 33.35,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 33.35,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 33.35,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Urine Culture",
      "code_information": [
        {
          "code": "306",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 27.75,
          "minimum": 27.75,
          "maximum": 27.75,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 27.75,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 27.75,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 27.75,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 27.75,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "UA w/o Micro",
      "code_information": [
        {
          "code": "307",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 10.45,
          "minimum": 10.45,
          "maximum": 10.45,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 10.45,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 10.45,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 10.45,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 10.45,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Chest X-Ray",
      "code_information": [
        {
          "code": "324",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 300.98,
          "minimum": 300.98,
          "maximum": 300.98,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 300.98,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 300.98,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 300.98,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 300.98,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "CT Scan",
      "code_information": [
        {
          "code": "350",
          "type": "RC"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 2017,
          "minimum": 2017,
          "maximum": 2017,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 2017,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 2017,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 2017,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 2017,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Speech/ Hearing Therapy ",
      "code_information": [
        {
          "code": "92507",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 187.10,
          "minimum": 187.10,
          "maximum": 187.10,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 187.10,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 187.10,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 187.10,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 187.10,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Speech/ Hearing Therapy ",
      "code_information": [
        {
          "code": "92508",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 54.60,
          "minimum": 54.60,
          "maximum": 54.60,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 54.60,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 54.60,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 54.60,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 54.60,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Evaluation Speech Fluency",
      "code_information": [
        {
          "code": "92521",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 271.39,
          "minimum": 271.39,
          "maximum": 271.39,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 271.39,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 271.39,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 271.39,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 271.39,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Evaluate Speech Production",
      "code_information": [
	    {
          "code": "92522",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 218.25,
          "minimum": 218.25,
          "maximum": 218.25,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 218.25,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 218.25,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 218.25,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 218.25,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Speech Sound Language Comp",
      "code_information": [
	    {
          "code": "92523",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 470.63,
          "minimum": 470.63,
          "maximum": 470.63,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 470.63,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 470.63,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 470.63,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 470.63,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Oral Function Therapy",
      "code_information": [
	    {
          "code": "92526",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 204.4,
          "minimum": 204.4,
          "maximum": 204.4,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 204.4,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 204.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 204.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 204.4,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "PT Evaluation Low 20",
      "code_information": [
	    {
          "code": "97161",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 199.4,
          "minimum": 199.4,
          "maximum": 199.4,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "PT Evaluation Mod 30",
      "code_information": [
	    {
          "code": "97162",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 199.4,
          "minimum": 199.4,
          "maximum": 199.4,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "PT Evaluation High 45",
      "code_information": [
	    {
          "code": "97163",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 199.4,
          "minimum": 199.4,
          "maximum": 199.4,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 199.4,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "PT Re-Eval",
      "code_information": [
	    {
          "code": "97164",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 134.6,
          "minimum": 134.6,
          "maximum": 134.6,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 134.6,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 134.6,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 134.6,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 134.6,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Diathermy Eg Microwave",
      "code_information": [
	    {
          "code": "97024",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 16.28,
          "minimum": 16.28,
          "maximum": 16.28,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 16.28,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 16.28,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 16.28,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 16.28,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Electrical Stimulation",
      "code_information": [
	    {
          "code": "97032",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 37.03,
          "minimum": 37.03,
          "maximum": 37.03,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 37.03,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 37.03,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 37.03,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 37.03,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Swallow Therapy",
      "code_information": [
	    {
          "code": "92526",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 204,
          "minimum": 204,
          "maximum": 204,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 204,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 204,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 204,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 204,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Therapeutic Exercises",
      "code_information": [
	    {
          "code": "97110",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.9,
          "minimum": 72.9,
          "maximum": 72.9,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 72.9,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 72.9,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Therapeutic Exercises",
      "code_information": [
	    {
          "code": "97110",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.9,
          "minimum": 72.9,
          "maximum": 72.9,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 72.9,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Massage Therapy",
      "code_information": [
	    {
          "code": "97124",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.58,
          "minimum": 72.58,
          "maximum": 72.58,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 72.58,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 72.58,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 72.58,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Ultrasound Therapy",
      "code_information": [
	    {
          "code": "97035",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 31.9,
          "minimum": 31.9,
          "maximum": 31.9,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 31.9,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 31.9,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 31.9,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 31.9,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Selfcare Mngmt Training",
      "code_information": [
	    {
          "code": "97535",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 81.83,
          "minimum": 81.83,
          "maximum": 81.83,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 81.83,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 81.83,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 81.83,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 81.83,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Wheelchair Mngmt Training",
      "code_information": [
	    {
          "code": "97542",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 79.6,
          "minimum": 79.6,
          "maximum": 79.6,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 79.6,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 79.6,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Orthotic Mgt. and Training",
      "code_information": [
	    {
          "code": "97760",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 110.55,
          "minimum": 110.55,
          "maximum": 110.55,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 110.55,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Community/Work Integration",
      "code_information": [
	    {
          "code": "97537",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 78.8,
          "minimum": 78.8,
          "maximum": 78.8,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
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              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
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              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 78.8,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Cognitive Skills Development",
      "code_information": [
	    {
          "code": "97532",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.8,
          "minimum": 72.8,
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            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
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              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Electrical Stim Unattend",
      "code_information": [
	    {
          "code": "G0281",
          "type": "CPT"
        }
      ],
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        {
          "gross_charge": 34.93,
          "minimum": 34.93,
          "maximum": 34.93,
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            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
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              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
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              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Electrical Stim Other",
      "code_information": [
	    {
          "code": "G0283",
          "type": "CPT"
        }
      ],
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        {
          "gross_charge": 34.93,
          "minimum": 34.93,
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            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 34.93,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 34.93,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "OT Evaluation Low 30",
      "code_information": [
	    {
          "code": "97165",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 214.8,
          "minimum": 214.8,
          "maximum": 214.8,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "OT Evaluation Mod 45",
      "code_information": [
	    {
          "code": "97166",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 214.8,
          "minimum": 214.8,
          "maximum": 214.8,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "OT Evaluation High 60",
      "code_information": [
	    {
          "code": "97167",
          "type": "CPT"
        }
      ],
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        {
          "gross_charge": 214.8,
          "minimum": 214.8,
          "maximum": 214.8,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 214.8,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "OT Re-Eval",
      "code_information": [
	    {
          "code": "97168",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 145.95,
          "minimum": 145.95,
          "maximum": 145.95,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 145.95,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 145.95,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 145.95,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Prosthetic Training",
      "code_information": [
	    {
          "code": "97761",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 95.95,
          "minimum": 95.95,
          "maximum": 95.95,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
              "standard_charge_dollar": 95.95,
              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 95.95,
              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 95.95,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "C/O Orthotic/Prosth Use",
      "code_information": [
	    {
          "code": "97762",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 113.65,
          "minimum": 113.65,
          "maximum": 113.65,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
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            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
              "standard_charge_dollar": 113.65,
              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Neuromuscular Re-Ed",
      "code_information": [
	    {
          "code": "97112",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.9,
          "minimum": 72.9,
          "maximum": 72.9,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
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            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Gait Training Therapy",
      "code_information": [
	    {
          "code": "97116",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 72.1,
          "minimum": 72.1,
          "maximum": 72.1,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    },
	{
      "description": "Manual Therapy Regions",
      "code_information": [
	    {
          "code": "97140",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "gross_charge": 66.63,
          "minimum": 66.63,
          "maximum": 66.63,
          "setting": "inpatient",
          "payers_information": [
            {
              "payer_name": "UHC COMMUNITY DUAL",
              "plan_name": "COMMERCIAL",
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              "methodology": "per diem"
            },
			{
              "payer_name": "UHC",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
            },
            {
              "payer_name": "CIGNA",
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              "methodology": "per diem"
            },
            {
              "payer_name": "OPTUM BEHAVIORAL HEALTH",
              "plan_name": "ADVANTAGE",
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              "methodology": "per diem"
			}  
          ]
        }
      ]
    }
  ]
}