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"Centene","plan_name": "Medicare|Allwell","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "BCBS - AR","plan_name": "Medicare|HMO PPO","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Centene","plan_name": "Commercial|Ambetter Exchange","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Aetna","plan_name": "Medicare|All Plans","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "BCBS - AR","plan_name": "Medicare|PFFS","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "United","plan_name": "Medicare|All Plans","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Cigna","plan_name": "Medicare|Healthspring","description": "95% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Humana","plan_name": "Medicare|All Plans","description": "95% payment adjustment for the item or service to which the modifier is appended"}]},{"description": "Replacement of facial prosthesis", "code": "KN", "modifier_payer_information": [{"payer_name": "Centene","plan_name": "Medicare|Allwell","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "BCBS - AR","plan_name": "Medicare|HMO PPO","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Centene","plan_name": "Commercial|Ambetter Exchange","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Aetna","plan_name": "Medicare|All Plans","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "BCBS - AR","plan_name": "Medicare|PFFS","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "United","plan_name": "Medicare|All Plans","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Cigna","plan_name": "Medicare|Healthspring","description": "40% payment adjustment for the item or service to which the modifier is appended"},{"payer_name": "Humana","plan_name": "Medicare|All Plans","description": "40% payment adjustment for the item or service to which the modifier is appended"}]}],"general_contract_provisions": [ 
{ "payer_name": "BCBS - AR", "plan_name": "Commercial|All Other Plans", "description": "Inpatient - Reimbursement for the entire encounter may be increased by 40 Percent of Billed Charges above 95,000.00 when Billed Charges exceeds a threshold of $95,000.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "BCBS - AR", "plan_name": "Commercial|TrueBlue Exchange", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Centene", "plan_name": "Commercial|Ambetter Exchange", "description": "Inpatient - Reimbursement for the entire encounter may be 31.24 Percent of Billed Charges when Billed Charges exceeds a threshold of $150,887.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Centene", "plan_name": "Commercial|QualChoice", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Cigna", "plan_name": "Commercial|AHN", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Cigna", "plan_name": "Commercial|All Other Plans", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Cigna", "plan_name": "Commercial|NBR", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Humana", "plan_name": "Commercial|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be increased by 70 Percent of Billed Charges above 100,000.00 when Billed Charges exceeds a threshold of $100,000.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Municipal Health Benefits", "plan_name": "Commercial|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be 45 Percent of Billed Charges when Billed Charges exceeds a threshold of $100,000.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "United", "plan_name": "Commercial|Non-Options", "description": "Inpatient - Reimbursement for the entire encounter may be $6,889.00 Per Diem when Billed Charges exceeds a threshold of $215,663.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "United", "plan_name": "Commercial|Options", "description": "Inpatient - Reimbursement for the entire encounter may be $6,889.00 Per Diem when Billed Charges exceeds a threshold of $215,663.00/Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Empower", "plan_name": "Medicaid|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "TotalCare", "plan_name": "Medicaid|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Centene", "plan_name": "Medicare|Allwell", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "Humana", "plan_name": "Medicare|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" },{ "payer_name": "United", "plan_name": "Medicare|All Plans", "description": "Inpatient - Reimbursement for the entire encounter may be limited to 100 Percent of Billed Charges" }]}