{"chunk_id":-1,"reporting_entity_name":"PacificSource Health Plans","reporting_entity_type":"Health Insurance Issuer","plan_name":"ID SmartHealth Value Bronze","plan_id_type":"ein","last_updated_on":"2026-06-10","version":"2.0.1","in_network":[{"negotiation_arrangement":"ffs","name":"Transection/Avulsion, Obturator Nerve, Extrapelvic, W/Wo Adductor Tenotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64763","description":"Transection/Avulsion, Obturator Nerve, Extrapelvic, W/Wo Adductor Tenotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":731.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured b/c the patient did not complete the FS status survey near discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8669","description":"Risk-adjusted functional status change residual score for the elbow, wrist or hand impairment not measured b/c the patient did not complete the FS status survey near discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Safety Counseling For Dementia Provided (Dem)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6101F","description":"Safety Counseling For Dementia Provided (Dem)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orth Foot Non-Standard Size/","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3255","description":"Orth Foot Non-Standard Size/","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Simple Repair, Superficial Wounds, Face/Ears/Eyelids/Nose/Lips/Mucous Membranes; > 30.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"12018","description":"Simple Repair, Superficial Wounds, Face/Ears/Eyelids/Nose/Lips/Mucous Membranes; > 30.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":268.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion & Placement, Flow Directed Catheter, Monitoring Purposes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93503","description":"Insertion & Placement, Flow Directed Catheter, Monitoring Purposes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":195.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein; Electrophoretic Fractionation & Quantitation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84165","description":"Protein; Electrophoretic Fractionation & Quantitation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy, Excision, Intraspinal Lesion Other Than Neoplasm, Intradural; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63271","description":"Laminectomy, Excision, Intraspinal Lesion Other Than Neoplasm, Intradural; Thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3202.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"index date PHQ-score greater than 9 documented during the 12 month denominator identification period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9572","description":"index date PHQ-score greater than 9 documented during the 12 month denominator identification period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Muscle-specific kinase (MuSK) antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86366","description":"Muscle-specific kinase (MuSK) antibody","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient unable to complete the low back FS PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9733","description":"Patient unable to complete the low back FS PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No significant depressive symptoms as categorized by using a standardized depression assessment tool (MDD)2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3352F","description":"No significant depressive symptoms as categorized by using a standardized depression assessment tool (MDD)2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gonadotropin, Chorionic (Hcg); Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84703","description":"Gonadotropin, Chorionic (Hcg); Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81344","description":"TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35112","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Splenic Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2927.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGM2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, evaluation for mutations and methylation markers, multiplex qPCR, cfDNA, plasma, report of risk score for advanced adenoma or colorectal cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0368U","description":"Oncology, evaluation for mutations and methylation markers, multiplex qPCR, cfDNA, plasma, report of risk score for advanced adenoma or colorectal cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transitional care mgmt svcs w/ req. elements: Comm. w/pt and/or caregiver w/n 2 bus. days of discharge, High level decision, Face-to-face visit, w/n 7 cal. days of discharge","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99496","description":"Transitional care mgmt svcs w/ req. elements: Comm. w/pt and/or caregiver w/n 2 bus. days of discharge, High level decision, Face-to-face visit, w/n 7 cal. days of discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conversion of Gastrostomy Tube to Gastro-Jejunostomy Tube, Percutaneous, Under Fluoroscopic Guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49446","description":"Conversion of Gastrostomy Tube to Gastro-Jejunostomy Tube, Percutaneous, Under Fluoroscopic Guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1401.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFP2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Deligation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50940","description":"Deligation, Ureter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1351.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meniscectomy, Partial/Complete, Temporomandibular Joint (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21060","description":"Meniscectomy, Partial/Complete, Temporomandibular Joint (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1225.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Indium IN-111 auto platelet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9571","description":"Indium IN-111 auto platelet","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4799.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nebulizer With Compression - With Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0570","description":"Nebulizer With Compression - With Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Beta 2 Glycoprotein I Antibody, Ea","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86146","description":"Beta 2 Glycoprotein I Antibody, Ea","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":28.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel, up to 100 mill autologous b-cell maturation antigen (bcma) directed car-positive t cells, includ leukapheresis, dose prep proced,per therap dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2056","description":"Ciltacabtagene autoleucel, up to 100 mill autologous b-cell maturation antigen (bcma) directed car-positive t cells, includ leukapheresis, dose prep proced,per therap dose","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient is using palliative care services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9994","description":"Patient is using palliative care services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHM3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystectomy, Complete, W/Ureteroileal Conduit/Sigmoid Bladder W/Bowel Anastmos; W/Pelvc Lymphadnctmy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51595","description":"Cystectomy, Complete, W/Ureteroileal Conduit/Sigmoid Bladder W/Bowel Anastmos; W/Pelvc Lymphadnctmy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3352.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Matrion, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4201","description":"Matrion, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77065","description":"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":199.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5CHK2","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, Flexible; W/Removal, Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45332","description":"Sigmoidoscopy, Flexible; W/Removal, Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":377.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lumbar orthosis, sagittal control with rigid posterior panel(s), posterior extends from L-1 to below L-5 vertebra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0641","description":"Lumbar orthosis, sagittal control with rigid posterior panel(s), posterior extends from L-1 to below L-5 vertebra","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mra, Neck; W/Contrast Matl(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70548","description":"Mra, Neck; W/Contrast Matl(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":617.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Fetal Congenital Abnormalities, Assays Of Five Analytes, Maternal Serum, Algorithm Reported As A Risk Score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81512","description":"Fetal Congenital Abnormalities, Assays Of Five Analytes, Maternal Serum, Algorithm Reported As A Risk Score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Of Exostotis-Per Site","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7471","description":"Removal Of Exostotis-Per Site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":473.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"surgical exposure of root surface without apicoectomy or repair of root resorption – anterior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3501","description":"surgical exposure of root surface without apicoectomy or repair of root resorption – anterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":404.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic drug monitoring, 90 or more pain and MH drugs or substances, LC-MS/MS, plasma, qual & qn therapeutic min eff range of prescribed and non-prescribed medications","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"Therapeutic drug monitoring, 90 or more pain and MH drugs or substances, LC-MS/MS, plasma, qual & qn therapeutic min eff range of prescribed and non-prescribed medications","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 47","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 47","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Advance care plan or similar legal document present in the medical record (COA)2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1157F","description":"Advance care plan or similar legal document present in the medical record (COA)2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 26","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 26","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic Apheresis, W/Extracorprl Selectve Adsorption/Selectve Filtraton & Plasma Reinfusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36516","description":"Therapeutic Apheresis, W/Extracorprl Selectve Adsorption/Selectve Filtraton & Plasma Reinfusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3157.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ischemic Stroke Symp Onset GE 3 Hrs B/4 Arrival","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1066F","description":"Ischemic Stroke Symp Onset GE 3 Hrs B/4 Arrival","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Sagittal-Coronal Control, One Piece Rigid Plastic Shell, W Overl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0490","description":"TLSO, Sagittal-Coronal Control, One Piece Rigid Plastic Shell, W Overl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":324.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":264.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Chemotherapy By Infusion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0084","description":"Chemotherapy By Infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":172.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remove soft interface, repl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0672","description":"Remove soft interface, repl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation, Cervical Canal, Instrumental (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57800","description":"Dilation, Cervical Canal, Instrumental (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand-Held Pefr Meter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4614","description":"Hand-Held Pefr Meter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":32.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFKW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"NeoPatch or Therion, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4176","description":"NeoPatch or Therion, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9599","description":"aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGLS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adj chem pres AJCC III","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8927","description":"Adj chem pres AJCC III","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Acquired/Traumatic Arteriovenous Fistula; Extremities","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35190","description":"Repair, Acquired/Traumatic Arteriovenous Fistula; Extremities","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1179.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGKT","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease, chronic hepatitis C virus (HCV) infection, 6 biochem assays, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81596","description":"Infectious disease, chronic hepatitis C virus (HCV) infection, 6 biochem assays, prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":79.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Isoetharine Hcl Inh Sol U D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7649","description":"Isoetharine Hcl Inh Sol U D","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0496","description":"Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ER/PR negative breast cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3316F","description":"ER/PR negative breast cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGNU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (breast), semiquantitative analys of 32 phosphoproteins and protein analytes, includes laser capture microdissection, w/algorithmic analys and interpretative report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0249U","description":"Oncology (breast), semiquantitative analys of 32 phosphoproteins and protein analytes, includes laser capture microdissection, w/algorithmic analys and interpretative report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2441.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient transferred directly from anesthetizing location to PACU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9656","description":"patient transferred directly from anesthetizing location to PACU","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHLW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foot, plastic, silicone or equal,  heel stabilizer, prafabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3170","description":"Foot, plastic, silicone or equal,  heel stabilizer, prafabricated, off-the-shelf, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":58.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":58.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Emergency Dept Visit, 3 Key Components:Comprehensive Hx; Comprehensive Exam; Med Decisn High Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"Emergency Dept Visit, 3 Key Components:Comprehensive Hx; Comprehensive Exam; Med Decisn High Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":259.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":259.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21811","description":"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":931.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kafo Sing Fre Stirr Thi/Calf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2000","description":"Kafo Sing Fre Stirr Thi/Calf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1487.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1209.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, waist length, 30-40 mm Hg, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6563","description":"Gradient compression stocking, waist length, 30-40 mm Hg, custom, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":959.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by same physician or qualified health care professional, requiring presence of observer to assist in monitoring patient; pt 5 yrs or older","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99152","description":"Moderate sedation services provided by same physician or qualified health care professional, requiring presence of observer to assist in monitoring patient; pt 5 yrs or older","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":76.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Modifier Wrist Flexion Unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6805","description":"Modifier Wrist Flexion Unit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":402.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":495.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, recline only, without shear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1003","description":"Wheelchair accessory, power seating system, recline only, without shear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9527.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":514.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5188.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Metaproterenol Inh Sol Con","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7668","description":"Metaproterenol Inh Sol Con","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prolonged service in inpt or observation setting, req unit/floor time beyond the usual service; each addtl 30 min (List separately in addition to code for prolonged service)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99357","description":"Prolonged service in inpt or observation setting, req unit/floor time beyond the usual service; each addtl 30 min (List separately in addition to code for prolonged service)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Bx; Sacroiliac Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27050","description":"Arthrotomy, W/Bx; Sacroiliac Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":587.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Chalazion; Single","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67800","description":"Excision, Chalazion; Single","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":189.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemolysins & Agglutinins; Incubated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86941","description":"Hemolysins & Agglutinins; Incubated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformity Evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5020","description":"Conformity Evaluation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric Restrictive Proc, W/O Gastric Bypass, Morbid Obesity; Vertical-Banded Gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43842","description":"Gastric Restrictive Proc, W/O Gastric Bypass, Morbid Obesity; Vertical-Banded Gastroplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1826.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1831","description":"Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1423.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemisection (Including Any Root Removal), Not Including Root Canal Therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3920","description":"Hemisection (Including Any Root Removal), Not Including Root Canal Therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":318.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Programming Device Eval W Adjustments of the Implantable Device W Phys Review; Dual Lead Cardioverter-Defib System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93283","description":"Programming Device Eval W Adjustments of the Implantable Device W Phys Review; Dual Lead Cardioverter-Defib System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":122.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":86.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation arteries; ethmoidal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30915","description":"Ligation arteries; ethmoidal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":864.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":864.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inhalation Bronchial Challenge Tests; W/Antigens/Gases, Specify","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95071","description":"Inhalation Bronchial Challenge Tests; W/Antigens/Gases, Specify","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Larynx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31599","description":"Unlisted Proc, Larynx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Technetium Tc 99m Sestamibi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9500","description":"Technetium Tc 99m Sestamibi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":228.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHMT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Amputee W/O Leg R","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1171","description":"Wheelchair Amputee W/O Leg R","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1727.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1727.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, Rigid/Flexible; W/Endoscopic Ultrasound Exam","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43231","description":"Esophagoscopy, Rigid/Flexible; W/Endoscopic Ultrasound Exam","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":504.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Underarm Crutch Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4635","description":"Underarm Crutch Pad","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Respiratory - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3LB11","description":"Late - Community, MMTA - Respiratory - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excise, Benign Skin Lesion, Incl Margins, Face/Ears/Eyelids/Nose/Lips/Muco; Excised Diam 2.1-3.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11443","description":"Excise, Benign Skin Lesion, Incl Margins, Face/Ears/Eyelids/Nose/Lips/Muco; Excised Diam 2.1-3.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":337.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33506","description":"Repair, Anomalous Coronary Artery; Translocation, Pulmonary Artery To Aorta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3175.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, w/mechanical urethral dilation/therap drug delivery by drug-coated balloon cath for urethral stricture or stenosis, male, incldng fluoroscopy when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52284","description":"Cystourethroscopy, w/mechanical urethral dilation/therap drug delivery by drug-coated balloon cath for urethral stricture or stenosis, male, incldng fluoroscopy when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4646.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infusion/Instillation, Radioelement Solution","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77750","description":"Infusion/Instillation, Radioelement Solution","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":389.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":559.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":170.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Red Fx-Tibial Shaft Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27754","description":"Red Fx-Tibial Shaft Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 1 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0814","description":"PWC gp 1 std port cap chair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":333.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy-Spine,1+,Scol;txabd/Retro","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22207","description":"Osteotomy-Spine,1+,Scol;txabd/Retro","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3698.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lacer Molded To Patient Mode","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2330","description":"Lacer Molded To Patient Mode","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":415.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":511.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiovascular Stress Test W/Ecg Monitor; Physician Supervision Only, W/O Intpretation & Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93016","description":"Cardiovascular Stress Test W/Ecg Monitor; Physician Supervision Only, W/O Intpretation & Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Lumbar Hernia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49540","description":"Repair, Lumbar Hernia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1031.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt Referral, Electroconvulsive Thxpy (Ect) DocÆd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4067F","description":"Pt Referral, Electroconvulsive Thxpy (Ect) DocÆd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Molecular pathology procedure Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons, cytogenomic arr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81406","description":"Molecular pathology procedure Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons, cytogenomic arr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Complex - Medium, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3DB21","description":"Late - Community, Complex - Medium, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Large Intestine; W/O Colostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44604","description":"Suture, Large Intestine; W/O Colostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1626.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Therapy, By Intra-Arterial Particulate Administration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79445","description":"Radiopharmaceutical Therapy, By Intra-Arterial Particulate Administration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":366.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":173.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":158.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5125","description":"Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 9","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 9","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc ord pro antbx w/in 1 hr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8504","description":"Doc ord pro antbx w/in 1 hr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ext Ocular Photography W/Interpretation & Report, Medical Progress","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92285","description":"Ext Ocular Photography W/Interpretation & Report, Medical Progress","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Resin-Based Composite Crown, Anterior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2390","description":"Resin-Based Composite Crown, Anterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":288.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Submandibular","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41008","description":"Intraoral Incision & Drainage, Abscess/Cyst/Hematoma, Tongue/Mouth Floor; Submandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":585.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rhinoplasty, Primary; W/Major Septal Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30420","description":"Rhinoplasty, Primary; W/Major Septal Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2059.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Impression & Custom Preparation; Palatal Augmentation Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21082","description":"Impression & Custom Preparation; Palatal Augmentation Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2525.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Bone; Tarsal/Metatarsal Bone, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28122","description":"Partial Excision, Bone; Tarsal/Metatarsal Bone, Not Talus/Calcaneus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":916.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Paraesophageal Hiatal Hernia, Via Laparotomy, Except Neonatal; Without Implantation Of Mesh Or Other Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43332","description":"Repair, Paraesophageal Hiatal Hernia, Via Laparotomy, Except Neonatal; Without Implantation Of Mesh Or Other Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1783.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"intravenous moderate (conscious) sedation/anesthesia-first 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9239","description":"intravenous moderate (conscious) sedation/anesthesia-first 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein Analysis, Tissue, Western Blot, W/Interpretation & Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88371","description":"Protein Analysis, Tissue, Western Blot, W/Interpretation & Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AHKU","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76988","description":"Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; placement, manipulation of transducer, and image acquisition only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":111.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9163","description":"Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aortic root transloc w/ ventricular septal defect pulm stenosis repair (ie, Nikaidoh proc); W coronary ostium reimplan","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33783","description":"Aortic root transloc w/ ventricular septal defect pulm stenosis repair (ie, Nikaidoh proc); W coronary ostium reimplan","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5396.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5396.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interrogation device eval, includes connection, recording/disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, heart rhythm derived data analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93291","description":"Interrogation device eval, includes connection, recording/disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, heart rhythm derived data analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":32.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Genesis Amniotic Membrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4198","description":"Genesis Amniotic Membrane, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Lower Extremity Artery Bypass W/O Thrombectomy, Open; W/Segmental Vein Interposition","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35881","description":"Revision, Lower Extremity Artery Bypass W/O Thrombectomy, Open; W/Segmental Vein Interposition","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1585.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CFL3","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2109","description":"Spherocylinder 4.25d/4.25-6d","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home or residence visit for the E/M of an est. pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 60 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99350","description":"Home or residence visit for the E/M of an est. pt., req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 60 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mammographic Guidance for Needle Placement, Breast, Ea Lesion, Radiological Supervision and Interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77032","description":"Mammographic Guidance for Needle Placement, Breast, Ea Lesion, Radiological Supervision and Interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Axillary-Axillary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35518","description":"Bypass Graft, W/Vein; Axillary-Axillary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1802.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22226","description":"Osteotomy, Spine, W/Diskectomy, Anterior Approach, Single Segment; Add'l Segment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":560.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"carePATCH, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4236","description":"carePATCH, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":483.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ABL1, gene analysis, variants in the kinase domain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81170","description":"ABL1, gene analysis, variants in the kinase domain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":330.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing warfarin or another oral anticoagulant that is FDA approved for the prevention of thromboembolism","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8968","description":"Documentation of medical reason(s) for not prescribing warfarin or another oral anticoagulant that is FDA approved for the prevention of thromboembolism","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sedimentation Rate, Erythrocyte; Non-Automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85651","description":"Sedimentation Rate, Erythrocyte; Non-Automated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hematolymphoid neoplasm or d/o, genomic seq anal panel, 5-50 genes, interrog for seq var, & CNV/rearrangements/isoform exprsn/mRNA exprsn levels; DNA anal/comb DNA & RNA anal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81450","description":"Hematolymphoid neoplasm or d/o, genomic seq anal panel, 5-50 genes, interrog for seq var, & CNV/rearrangements/isoform exprsn/mRNA exprsn levels; DNA anal/comb DNA & RNA anal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Interdental Fixation Device, Non-Fx/Dislocation, W/Removal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21110","description":"Application, Interdental Fixation Device, Non-Fx/Dislocation, W/Removal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1226.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition only, first lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96932","description":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition only, first lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":154.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cold Agglutinin; Titer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86157","description":"Cold Agglutinin; Titer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Stereotactic Stimulation, Spinal Cord, Percutaneous Sep Proc, No Other Surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63610","description":"Stereotactic Stimulation, Spinal Cord, Percutaneous Sep Proc, No Other Surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":688.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Necropsy (Autopsy), Gross & Microscopic; Infant W/ Brain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88028","description":"Necropsy (Autopsy), Gross & Microscopic; Infant W/ Brain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":382.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 11","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 11","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFK1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHM2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGM4","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ost Skn Barrier Sld Ext Wear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4385","description":"Ost Skn Barrier Sld Ext Wear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66-80 years of age and had at least one claim/encounter for frailty and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2123","description":"Patients 66-80 years of age and had at least one claim/encounter for frailty and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Other - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AA11","description":"Late - Community, MMTA - Other - Low, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Compression Burn Garment, Upper Trunk To Waist Including Leg Openings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6511","description":"Compression Burn Garment, Upper Trunk To Waist Including Leg Openings","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":368.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":368.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0239U","description":"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes, interrogation for sequence variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3850.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFPS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 10","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Tarsometatarsal Joint Dislocation W/Wo Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28615","description":"Open Treatment, Tarsometatarsal Joint Dislocation W/Wo Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1225.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGL6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, Thoracolumbar, Lower Thoracic/Lumbar; Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63088","description":"Vertebral Corpectomy, Thoracolumbar, Lower Thoracic/Lumbar; Add'l Segment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":403.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-rad contrast materialNOC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9698","description":"Non-rad contrast materialNOC","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pad Water Circulating Heat U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0249","description":"Pad Water Circulating Heat U","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":135.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":135.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":13.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"HFO w/joint(s) CF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3921","description":"HFO w/joint(s) CF","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":335.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza B vaccine (Hib-MenCY), 4 dose schedule, when administered to children 2-15 months of age","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90644","description":"Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza B vaccine (Hib-MenCY), 4 dose schedule, when administered to children 2-15 months of age","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Below Knee Cuff Suspension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5666","description":"Below Knee Cuff Suspension","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":83.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Cardiac - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4HA31","description":"Late - Institutional, MMTA - Cardiac - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hip orthosis (HO), bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1653","description":"Hip orthosis (HO), bilateral thigh cuffs with adjustable abductor spreader bar, adult size, prefabricated, off the shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":419.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone Marrow Bx, Needle/Trocar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38221","description":"Bone Marrow Bx, Needle/Trocar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":252.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19283","description":"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":408.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SkinTE, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4200","description":"SkinTE, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulpal Therapy (Resorbable Filling) - Posterior, Primary Tooth (Excluding Final Restoration)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3240","description":"Pulpal Therapy (Resorbable Filling) - Posterior, Primary Tooth (Excluding Final Restoration)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":188.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, Rigid/Flexible; W/Control, Bleeding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43227","description":"Esophagoscopy, Rigid/Flexible; W/Control, Bleeding","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":944.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroencephalogram (EEG), continuous recording, physician review, analysis of spike and seizure detection, complete study; greater than 84 hrs of EEG recording, w/ video","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95726","description":"Electroencephalogram (EEG), continuous recording, physician review, analysis of spike and seizure detection, complete study; greater than 84 hrs of EEG recording, w/ video","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":768.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antidepressants, not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80338","description":"Antidepressants, not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 48","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 48","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx nsclc/sclc limited","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9068","description":"Onc dx nsclc/sclc limited","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"4-Bar Link Above Knee W/Swng","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5614","description":"4-Bar Link Above Knee W/Swng","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1941.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, CO","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81440","description":"Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, CO","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3656.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3656.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGLW","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGKV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medical Nutrition Therapy, Reassessment And Subsequent Intervention(S)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0271","description":"Medical Nutrition Therapy, Reassessment And Subsequent Intervention(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGL6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oct brst/node i&r per spec","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0352T","description":"Oct brst/node i&r per spec","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy, extended, with retinal drawing, with interpretation and report; subsequent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92226","description":"Ophthalmoscopy, extended, with retinal drawing, with interpretation and report; subsequent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow (AQMBF), single-photon emission computed tomography (SPECT), with exercise or pharmacologic stress, and at rest, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0742T","description":"Absolute quantitation of myocardial blood flow (AQMBF), single-photon emission computed tomography (SPECT), with exercise or pharmacologic stress, and at rest, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Critical Care, Evaluation & Management; First 30-74 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management; First 30-74 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":410.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":410.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett's esophagus), esophageal cells, DNAm analysis by NGS of at least 89 DMGRs, algorithm rep as likelihood for Barrett's esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506U","description":"Gastroenterology (Barrett's esophagus), esophageal cells, DNAm analysis by NGS of at least 89 DMGRs, algorithm rep as likelihood for Barrett's esophagus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2131.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protective body sock, prefabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0984","description":"Protective body sock, prefabricated, off-the-shelf, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":61.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Demonstration, At Initial Use, Of Home Inr Monitoring For Patient With","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0248","description":"Demonstration, At Initial Use, Of Home Inr Monitoring For Patient With","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":163.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mastectomy Bra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8000","description":"Mastectomy Bra","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":39.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9457","description":"Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50592","description":"Ablation, one or more renal tumor(s), percutaneous, unilateral, radiofrequency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1855.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MS Rehab - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4EA31","description":"Late - Institutional, MS Rehab - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tobacco assessment or tobacco cessation intervention not performed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9460","description":"Tobacco assessment or tobacco cessation intervention not performed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein; Total, Except Refractometry","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84155","description":"Protein; Total, Except Refractometry","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Fx, Orbit, Except Blowout; W/Bone Grafting (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21408","description":"Open Treatment, Fx, Orbit, Except Blowout; W/Bone Grafting (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1362.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFMS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Noncovered Procedure(S) Using Either No Anesthesia Or Local Anesthesia","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0294","description":"Noncovered Procedure(S) Using Either No Anesthesia Or Local Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lead Wires, Pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4557","description":"Lead Wires, Pair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":11.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, metoprolol tartrate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0616","description":"Injection, metoprolol tartrate, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enteral Ng Tubing W/ Stylet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4081","description":"Enteral Ng Tubing W/ Stylet","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-Articular Radiopharmaceutical Therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79440","description":"Intra-Articular Radiopharmaceutical Therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":223.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":146.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":76.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BHKS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, paclitaxel protein-bound particles (American Regent), not therapeutically equivalent to J9264, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9259","description":"Injection, paclitaxel protein-bound particles (American Regent), not therapeutically equivalent to J9264, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CFK3","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Dural/Csf Leak, Not Requiring Laminectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63707","description":"Repair, Dural/Csf Leak, Not Requiring Laminectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1418.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Evaluation of speech fluency (eg, stuttering, cluttering)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92521","description":"Evaluation of speech fluency (eg, stuttering, cluttering)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Count; Manual Differential Wbc Count, Buffy Coat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85009","description":"Blood Count; Manual Differential Wbc Count, Buffy Coat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Arm Through Humerus; W/Implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24931","description":"Amputation, Arm Through Humerus; W/Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1221.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"documentation that the patient is not on a statin medication","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9508","description":"documentation that the patient is not on a statin medication","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tonsillectomy, Primary/Secondary; Age 12+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42826","description":"Tonsillectomy, Primary/Secondary; Age 12+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":384.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible transnephric nephrouretal catheter w fluoroscopic guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50387","description":"Removal and replacement of externally accessible transnephric nephrouretal catheter w fluoroscopic guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHN5","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve Repair; with Synthetic Conduit or Vein Allograft (Eg, Nerve Tube), Each Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64910","description":"Nerve Repair; with Synthetic Conduit or Vein Allograft (Eg, Nerve Tube), Each Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1253.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cone beam CT, full arch-max, image only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0382","description":"Cone beam CT, full arch-max, image only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytomegalovirus Immune Globulin (Cmv-Igiv), Human, Iv Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90291","description":"Cytomegalovirus Immune Globulin (Cmv-Igiv), Human, Iv Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Neuro - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BB31","description":"Early - Institutional, Neuro - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orbitotomy W/O Bone Flap; W/Removal, Lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67412","description":"Orbitotomy W/O Bone Flap; W/Removal, Lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1276.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Compression Burn Garment, Bodysuit (Head To Foot), Custom Fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6501","description":"Compression Burn Garment, Bodysuit (Head To Foot), Custom Fabricated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":614.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":614.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Functional status score for neck/cranium/mandible/thoracic spine/ribs impairment not measured b/c pt didn't complete the orthopedic FS PROM at eval/discharge, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8674","description":"Functional status score for neck/cranium/mandible/thoracic spine/ribs impairment not measured b/c pt didn't complete the orthopedic FS PROM at eval/discharge, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Socket Insert Above Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5658","description":"Socket Insert Above Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":461.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":568.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9876","description":"Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 7-9 under the mdpp expanded model (em)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22556","description":"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2571.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Streptococcus, group A","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87430","description":"Streptococcus, group A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophageal Motility Study With Interpretation And Report; With Stimulation Or Perfusion During 2-Dimensional Data Study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91013","description":"Esophageal Motility Study With Interpretation And Report; With Stimulation Or Perfusion During 2-Dimensional Data Study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Glucose Monitor Home","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0607","description":"Blood Glucose Monitor Home","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":91.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurobehavioral status exam by physician or other qhc prof, both face-to-face time with the patient and time interpreting test results and preparing the report; ea add'l hour","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96121","description":"Neurobehavioral status exam by physician or other qhc prof, both face-to-face time with the patient and time interpreting test results and preparing the report; ea add'l hour","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Radiation/Physics/Dosimetry & Treatment Devices & Special Services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77399","description":"Unlisted Proc, Radiation/Physics/Dosimetry & Treatment Devices & Special Services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Screen C/V Thin Layer By Md","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0124","description":"Screen C/V Thin Layer By Md","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33221","description":"Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":554.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64616","description":"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intake: initial exam, standardized assessment, care plan with goals/harm reduction; assess medical/psych/social/legal/housing/nutrition needs; Medicare OTP; add-on","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2076","description":"Intake: initial exam, standardized assessment, care plan with goals/harm reduction; assess medical/psych/social/legal/housing/nutrition needs; Medicare OTP; add-on","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Solid caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2391","description":"Solid caster tire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0552T","description":"Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fasciotomy, Foot &/Or Toe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28008","description":"Fasciotomy, Foot &/Or Toe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":661.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniotomy W/Elevation, Bone Flap; Implantation, Electrodes, Long Term Seizure Monitor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61533","description":"Craniotomy W/Elevation, Bone Flap; Implantation, Electrodes, Long Term Seizure Monitor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2353.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bilat Salping-Oophorec W/Omentec, Total Abdominal Hyst & Radical Dissection, Debulking; W/Pelvic & Limited Paraaortic Lymp","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58954","description":"Bilat Salping-Oophorec W/Omentec, Total Abdominal Hyst & Radical Dissection, Debulking; W/Pelvic & Limited Paraaortic Lymp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3378.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3378.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 53","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 53","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Infectious - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1KA11","description":"Early - Community, MMTA - Infectious - Low, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow Mold Doub Splt Soc Ste","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6120","description":"Elbow Mold Doub Splt Soc Ste","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3515.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2857.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the elbow, wrist or hand successfully calculated and the score was equal to zero (0) or greater than zero (>0)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8667","description":"Risk-adjusted functional status change residual score for the elbow, wrist or hand successfully calculated and the score was equal to zero (0) or greater than zero (>0)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87594","description":"Infectious agent detection by nucleic acid (DNA or RNA); Pneumocystis jirovecii, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (HPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (HPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 28","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 28","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGMT","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, sacituzumab govitecan-hziy, 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9317","description":"Injection, sacituzumab govitecan-hziy, 2.5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2013","description":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":394.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Provisional Retainer Crown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6793","description":"Provisional Retainer Crown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":399.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surg/Trauma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66172","description":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surg/Trauma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Pilonidal Cyst/Sinus; Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11772","description":"Excision, Pilonidal Cyst/Sinus; Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1046.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagomyotomy; Thoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43331","description":"Esophagomyotomy; Thoracic Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2057.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Confirmatory Consult; Intermediate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Confirmatory Consult; Intermediate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 30","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 30","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ank-foot sys dors-plant flex","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5973","description":"Ank-foot sys dors-plant flex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20227.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Lift Hydraulic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0630","description":"Patient Lift Hydraulic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90698","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":117.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0802","description":"Replacement of lower extremity joint with Motor >37.05 & Motor <49.55.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":178.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21184","description":"Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4172.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pathogen test for platelets","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9987","description":"Pathogen test for platelets","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Helicobacter pylori","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87339","description":"Helicobacter pylori","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9799","description":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient's history through the end of the measure period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mech Amb Infusion Pump <8hrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0780","description":"Mech Amb Infusion Pump <8hrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":14.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravascular Doppler velocity/pressure coronary flow reserve measurement during angiography with stress; initial vessel (add-on to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93571","description":"Intravascular Doppler velocity/pressure coronary flow reserve measurement during angiography with stress; initial vessel (add-on to primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":232.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":147.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":168.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, labetalol HCl (Hikma), not therapeutically equivalent to J1920, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1921","description":"Injection, labetalol HCl (Hikma), not therapeutically equivalent to J1920, 5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Use of wet to dry dressings prescribed or recommended (CWC)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4265F","description":"Use of wet to dry dressings prescribed or recommended (CWC)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHMW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Developmental Testing; Limited, W/Interpretation & Report, Per Hr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96110","description":"Developmental Testing; Limited, W/Interpretation & Report, Per Hr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cerclage, Cervix, During Pregnancy; Abdominal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59325","description":"Cerclage, Cervix, During Pregnancy; Abdominal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":373.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50606","description":"endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance and all associated radiological supervision and interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1058.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ct Angiography, Pelvis, W/O Contrast Matl(S), Followed By Contrast Matl(S), W/Image Post-Processing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72191","description":"Ct Angiography, Pelvis, W/O Contrast Matl(S), Followed By Contrast Matl(S), W/Image Post-Processing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":321.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":457.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGMX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rh-immunoglobulin (RhoGAM) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8810","description":"Rh-immunoglobulin (RhoGAM) not ordered for reasons documented by clinician (e.g., patient had prior documented receipt of rhogam within 12 weeks, patient refusal)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BHKX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin Tolerance Panel; Acth Insufficiency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80434","description":"Insulin Tolerance Panel; Acth Insufficiency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":313.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":313.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fmr1 (Fragile X Mental Retardation 1) Gene Analysis; Characterization Of Alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81244","description":"Fmr1 (Fragile X Mental Retardation 1) Gene Analysis; Characterization Of Alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Dermoid Cyst, Nose; Complex, Under Bone/Cartilage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30125","description":"Excision Dermoid Cyst, Nose; Complex, Under Bone/Cartilage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":911.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy; Osteomyelitis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61501","description":"Craniectomy; Osteomyelitis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1769.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87209","description":"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corpora Cavernosa-Glans Penis Fistulization, Priapism","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54435","description":"Corpora Cavernosa-Glans Penis Fistulization, Priapism","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cricotracheal resection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31592","description":"Cricotracheal resection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2559.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prosthetic Device Repair Rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7510","description":"Prosthetic Device Repair Rep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":239.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Coccygectomy, Primary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27080","description":"Coccygectomy, Primary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":778.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic Adjustable Forearm Pronation/Supination Device, Inc Soft Inter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1802","description":"Dynamic Adjustable Forearm Pronation/Supination Device, Inc Soft Inter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":445.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Hip, Dx W/Wo Synovial Bx (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29860","description":"Arthroscopy, Hip, Dx W/Wo Synovial Bx (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1006.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mobility current status","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8978","description":"Mobility current status","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81120","description":"IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":212.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0748T","description":"Injections of stem cell product into perianal perifistular soft tissue, including fistula preparation (eg, removal of setons, fistula curettage, closure of internal openings)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":160.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Eval on foot not performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8415","description":"Eval on foot not performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Encephalitis, St. Louis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86653","description":"Antibody; Encephalitis, St. Louis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93573","description":"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective pulmonary arterial angiography, bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Lung, Total Pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32440","description":"Removal, Lung, Total Pneumonectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2399.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHLX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Laceration 2.5 Cm/<; Mouth Floor, &/Or Anterior Two-Thirds, Tongue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41250","description":"Repair, Laceration 2.5 Cm/<; Mouth Floor, &/Or Anterior Two-Thirds, Tongue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":408.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair/reline occlusal guard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9942","description":"Repair/reline occlusal guard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subsequent evaluation for condition (HEP C) (EPI)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1121F","description":"Subsequent evaluation for condition (HEP C) (EPI)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Penetrating Wound (Sep Proc); Chest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20101","description":"Exploration, Penetrating Wound (Sep Proc); Chest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":673.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial inpatient telehealth consultation, typically spends 80 minutes communicating with the patient via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0428","description":"Initial inpatient telehealth consultation, typically spends 80 minutes communicating with the patient via telehealth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGK5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3675","description":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treat &/Or Reduct, Vertbr Fx(S) &/Or Disloc(S), Post Apprch, 1 Fx'd Verteb/Disloc Sgmnt; Thorac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22327","description":"Open Treat &/Or Reduct, Vertbr Fx(S) &/Or Disloc(S), Post Apprch, 1 Fx'd Verteb/Disloc Sgmnt; Thorac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2310.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology, Selective Cellular Enhancement Technique with Interpretation, Except Cervical or Vaginal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88112","description":"Cytopathology, Selective Cellular Enhancement Technique with Interpretation, Except Cervical or Vaginal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":101.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for HIV pre-exposure prophylaxis FDA-approved prescription","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0521","description":"Pharmacy supplying fee for HIV pre-exposure prophylaxis FDA-approved prescription","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mlh1 (Mutl Homolog 1, Colon Cancer, Nonpolyposis Type 2) Gene Analysis; Full Sequence Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81292","description":"Mlh1 (Mutl Homolog 1, Colon Cancer, Nonpolyposis Type 2) Gene Analysis; Full Sequence Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":742.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":742.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Silicone Gel Sheet, Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6025","description":"Silicone Gel Sheet, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Inpt telehealth con 70/>m","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0427","description":"Inpt telehealth con 70/>m","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHK3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G6012","description":"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":394.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Environmental Intervention, Medical Purposes, Psych Patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90882","description":"Environmental Intervention, Medical Purposes, Psych Patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":151.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79403","description":"Radiopharmaceutical Therapy, Radiolabeled Monoclonal Antibody By Intravenous Infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":124.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":165.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Tenotomy, Flexor, Palm, Open, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26450","description":"Tenotomy, Flexor, Palm, Open, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":605.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Repair, Incisional Hernia (Includes Mesh Insertion, When Performed); Reducible","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49654","description":"Laparoscopy, Surgical, Repair, Incisional Hernia (Includes Mesh Insertion, When Performed); Reducible","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1296.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy, Radius; Distal Third","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25350","description":"Osteotomy, Radius; Distal Third","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1023.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Add Clasp To Existing Partial Denture","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5660","description":"Add Clasp To Existing Partial Denture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":260.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81406","description":"Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 26-50 exons)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenotomy, Elbow, Lateral or Medial (eg, Epicondylitis, Tennis Elbow, Golfer's Elbow); Percutaneous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24357","description":"Tenotomy, Elbow, Lateral or Medial (eg, Epicondylitis, Tennis Elbow, Golfer's Elbow); Percutaneous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":640.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AFM3","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apnea Monitor, Without Recording Feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0618","description":"Apnea Monitor, Without Recording Feature","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":382.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Screening Pap Smear By Phys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P3001","description":"Screening Pap Smear By Phys","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Positional Nystagmus Test, Minimum, 4 Positions, W/Recording","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92542","description":"Positional Nystagmus Test, Minimum, 4 Positions, W/Recording","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 7","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 7","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Control, Traumatic Hemorrhage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32654","description":"Thoracoscopy, Surgical; W/Control, Traumatic Hemorrhage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1815.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Radial Shaft Fx; W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25505","description":"Closed Treatment, Radial Shaft Fx; W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":754.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHMX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 6","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 6","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective therapy maintenance program, each 15","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0159","description":"Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective therapy maintenance program, each 15","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Hepatitis G Virus, Direct Probe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87525","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Hepatitis G Virus, Direct Probe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":32.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AFK3","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply, conforming gauze, per linear yd, any width, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6596","description":"Gradient compression bandaging supply, conforming gauze, per linear yd, any width, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Improvement in visual function not achieved within 90 days following cataract surgery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0915","description":"Improvement in visual function not achieved within 90 days following cataract surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemodialysis, Repeated Eval, W/Wo Revision Dialysis Prescription","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90937","description":"Hemodialysis, Repeated Eval, W/Wo Revision Dialysis Prescription","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2192","description":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Upper Gi Tract; W/Small Intestine, W/Multiple Serial Images","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74245","description":"Radiologic Exam, Upper Gi Tract; W/Small Intestine, W/Multiple Serial Images","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug/bio NOC part B drug CAP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4082","description":"Drug/bio NOC part B drug CAP","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bed Pan Standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0275","description":"Bed Pan Standard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":16.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Shared decision-making including discussion of conservative (non-surgical) therapy prior to the procedure not documented, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9297","description":"Shared decision-making including discussion of conservative (non-surgical) therapy prior to the procedure not documented, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Msh6 (Muts Homolog 6 [E. Coli]) Gene Analysis; Duplication/Deletion Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81300","description":"Msh6 (Muts Homolog 6 [E. Coli]) Gene Analysis; Duplication/Deletion Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":261.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":261.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Uterine Suspension, W/Wo Shortening Round/Sacrouterine Ligaments; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58400","description":"Uterine Suspension, W/Wo Shortening Round/Sacrouterine Ligaments; (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":663.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Postop Dsg Bk Ea Add Cast Ch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5410","description":"Postop Dsg Bk Ea Add Cast Ch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":489.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":602.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGMS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer Ext Oblique Muscle To Greater Trochanter W/Fascial/Tendon Extension (Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27100","description":"Transfer Ext Oblique Muscle To Greater Trochanter W/Fascial/Tendon Extension (Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1244.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27130","description":"Arthroplasty, Acetabular/Proximal Femoral Prosthetic Replacement, W/Wo Autograft/Allograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2072.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGM4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjust Partial Denture - Maxillary","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5421","description":"Adjust Partial Denture - Maxillary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement, Contact Lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92326","description":"Replacement, Contact Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt inelig ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8566","description":"Pt inelig ref oto eval","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Conjunctiva; > 1 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68115","description":"Excision, Lesion, Conjunctiva; > 1 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":465.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2624","description":"Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 inches, any depth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":383.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":383.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Synthetic Rod & Insertion, Extensor Tendon Graft (Inc Obtain Graft), Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26416","description":"Removal, Synthetic Rod & Insertion, Extensor Tendon Graft (Inc Obtain Graft), Hand/Finger, Each Rod","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1296.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had a medical visit in the last 6 months","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9249","description":"Patient had a medical visit in the last 6 months","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Counseling for Women of Childbearing Potential with Epilepsy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4340F","description":"Counseling for Women of Childbearing Potential with Epilepsy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urinal Male Jug-Type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0325","description":"Urinal Male Jug-Type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - GI/GU - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1JC21","description":"Early - Community, MMTA - GI/GU - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Laparoscopy Procedure, Ureter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50949","description":"Unlisted Laparoscopy Procedure, Ureter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFM5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Educational Services To Patients In Group Setting","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99078","description":"Physician Educational Services To Patients In Group Setting","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Placement Of Implant Body: Endosteal Implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6010","description":"Surgical Placement Of Implant Body: Endosteal Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1389.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemodial Via Functiong Av Fistula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4052F","description":"Hemodial Via Functiong Av Fistula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc Rehab Services Were Considered","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4079F","description":"Doc Rehab Services Were Considered","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93788","description":"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":7.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Facial Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8046","description":"Partial Facial Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2533.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3117.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TheraMend, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"TheraMend, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2127.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angiogram, Existing Catheter, Follow-Up Study, Transcatheter Therapy/Embolization/Infusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75898","description":"Angiogram, Existing Catheter, Follow-Up Study, Transcatheter Therapy/Embolization/Infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":1.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":80.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Progesterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84144","description":"Progesterone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Decompressive Fasciotomy, Hand (Excludes 26035)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26037","description":"Decompressive Fasciotomy, Hand (Excludes 26035)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":859.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of substernal implantable defibrillator pulse generator","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0614T","description":"Removal and replacement of substernal implantable defibrillator pulse generator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":671.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGP6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Appropriate method of offloading (pressure relief) prescribed (CWC)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4269F","description":"Appropriate method of offloading (pressure relief) prescribed (CWC)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Radial Shaft Fx, & Dislocation, Distal Radioulnar Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25520","description":"Closed Treatment, Radial Shaft Fx, & Dislocation, Distal Radioulnar Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":853.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Muscle Transfer, Any Type, Shoulder/Upper Arm; Single","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23395","description":"Muscle Transfer, Any Type, Shoulder/Upper Arm; Single","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1954.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44850","description":"Suture, Mesentery (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1150.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx prostate unknown NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9083","description":"Onc dx prostate unknown NOS","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation, division, and stripping, short saphenous vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37718","description":"Ligation, division, and stripping, short saphenous vein","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":669.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sling Operation, Stress Incontinence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57288","description":"Sling Operation, Stress Incontinence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1082.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brca1, Brca2 Gene Analysis; 185Delag, 5385Insc, 6174Delt Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81212","description":"Brca1, Brca2 Gene Analysis; 185Delag, 5385Insc, 6174Delt Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Statin prescribed at discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9441","description":"Statin prescribed at discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"IOP reduced < 15% pre-intervention level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3285F","description":"IOP reduced < 15% pre-intervention level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pelv Band/Spread Bar Thigh C","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1640","description":"Pelv Band/Spread Bar Thigh C","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":531.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":431.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Ligatn/Divisn/Strpg, Lng/Shrt Saphenous Veins W/Radical Excisn, Ulcer/Skin Graft/Interrptn Vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37735","description":"Ligatn/Divisn/Strpg, Lng/Shrt Saphenous Veins W/Radical Excisn, Ulcer/Skin Graft/Interrptn Vein","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":903.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45389","description":"Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":452.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Free Osteocutaneous Flap W/Microvascular Anastomosis; Iliac Crest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20970","description":"Free Osteocutaneous Flap W/Microvascular Anastomosis; Iliac Crest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4401.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29355","description":"Application, Long Leg Cast (Thigh To Toes); Walker/Ambulatory Type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":213.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0030U","description":"Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemolysins & Agglutinins; Auto, Screen, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86940","description":"Hemolysins & Agglutinins; Auto, Screen, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Expression, Conjunctival Follicles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68040","description":"Expression, Conjunctival Follicles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic adjustable toe flexion only device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1829","description":"Dynamic adjustable toe flexion only device, includes soft interface material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2822.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFM6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breathing Response To Hypoxia (Hypoxia Response Curve)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94450","description":"Breathing Response To Hypoxia (Hypoxia Response Curve)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":73.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Borrelia Burgdorferi (Lyme Disease) Confirmatory Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86617","description":"Antibody; Borrelia Burgdorferi (Lyme Disease) Confirmatory Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Anesthetic Agent; Sphenopalatine Ganglion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64505","description":"Injection, Anesthetic Agent; Sphenopalatine Ganglion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":159.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27067","description":"Excision, Bone Cyst/Benign Tumor; W/Autograft Requiring Sep Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1560.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foot Arch Supp Premold Metat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3050","description":"Foot Arch Supp Premold Metat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":54.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHLV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gi Endoscopic Us, S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76975","description":"Gi Endoscopic Us, S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":179.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":63.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., allergy, intolerance, other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9190","description":"Documentation of medical reason(s) for not prescribing beta-blocker therapy (e.g., allergy, intolerance, other medical reason)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Leukocyte Alkaline Phosphatase W/Count","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85540","description":"Leukocyte Alkaline Phosphatase W/Count","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Platelet Neutralization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85597","description":"Platelet Neutralization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemi-Facial Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8044","description":"Hemi-Facial Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3927.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4831.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"arterial pressure waveform analysis for assessment of central aterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transfo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93050","description":"arterial pressure waveform analysis for assessment of central aterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transfo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHN1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 31","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 31","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, spheroid cell culture in 3D microenvironment, 12-drug panel, brain- or brain metastasis-response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0248U","description":"Oncology, spheroid cell culture in 3D microenvironment, 12-drug panel, brain- or brain metastasis-response prediction for each drug","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3337.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23335","description":"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1955.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9852","description":"Patients who died from cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFP6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the 6 months prior to the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0029","description":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the 6 months prior to the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Hiv-2, Direct Probe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87537","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Hiv-2, Direct Probe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":24.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"FEV<40% Predicted Value","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3040F","description":"FEV<40% Predicted Value","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunization Administration, Intranasal/Oral; 1 Single/Combination Vaccine/Toxoid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90473","description":"Immunization Administration, Intranasal/Oral; 1 Single/Combination Vaccine/Toxoid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0107U","description":"Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amnio Burgeon Xplus Membrane and Xplus Hydromembrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4364","description":"Amnio Burgeon Xplus Membrane and Xplus Hydromembrane, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression garment, bra, for nighttime use, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6529","description":"Gradient compression garment, bra, for nighttime use, custom, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":995.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 51","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 51","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cast, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4030","description":"Cast supplies, long leg cast, adult (11 years +), fiberglass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient admitted to the ICU in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9853","description":"Patient admitted to the ICU in the last 30 days of life","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Respiratory - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4LA21","description":"Late - Institutional, MMTA - Respiratory - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27722","description":"Repair, Nonunion/Malunion, Tibia; W/Sliding Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1358.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional status assessed (COA)2 (RA)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1170F","description":"Functional status assessed (COA)2 (RA)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 86+ years who received a colonoscopy for an assessment of signs of GI tract illness, pt meets high risk criteria, or follow-up on previously diagnosed advanced lesion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9661","description":"Patients 86+ years who received a colonoscopy for an assessment of signs of GI tract illness, pt meets high risk criteria, or follow-up on previously diagnosed advanced lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Supracervical Hysterectomy, for Uterus 250 g or Less; with Removal of Tube(s) and/or Ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58542","description":"Laparoscopy, Surgical, Supracervical Hysterectomy, for Uterus 250 g or Less; with Removal of Tube(s) and/or Ovary(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1233.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation of existing tract, percut, for endourologic proc incl imaging guidance and all associated radiological supervision and interpretation, w/ postprocedure tube placement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50436","description":"Dilation of existing tract, percut, for endourologic proc incl imaging guidance and all associated radiological supervision and interpretation, w/ postprocedure tube placement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":281.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lactate (Lactic Acid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83605","description":"Lactate (Lactic Acid)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGLV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries. MEOS covers care management services f","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9678","description":"Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries. MEOS covers care management services f","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs, or other general orthopaedic impairment successfully calculated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, ribs, or other general orthopaedic impairment successfully calculated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic exam, upper gastrointestinal tract; w/wo delayed images, w/KUB","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74241","description":"Radiologic exam, upper gastrointestinal tract; w/wo delayed images, w/KUB","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93246","description":"External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Fascial Defect, Leg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27656","description":"Repair, Fascial Defect, Leg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":940.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Bone; Facial Bone(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21026","description":"Excision, Bone; Facial Bone(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":943.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cholesterol, Serum/Whole Blood, Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82465","description":"Cholesterol, Serum/Whole Blood, Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel, hematolymphoid neoplasm or disorder, DNA analysis and RNA analysis when performed, 5-50 genes (eg, BRAF, CEBPA, DNMT3A, EZH2, FLT3","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81450","description":"Targeted genomic sequence analysis panel, hematolymphoid neoplasm or disorder, DNA analysis and RNA analysis when performed, 5-50 genes (eg, BRAF, CEBPA, DNMT3A, EZH2, FLT3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":835.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation that a patient has a substantial risk of death within one year (Pall Cr)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1150F","description":"Documentation that a patient has a substantial risk of death within one year (Pall Cr)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resuscitation Bag","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8999","description":"Resuscitation Bag","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":35.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6565","description":"Gradient compression gauntlet, custom, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8442","description":"Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Syphilis Test; Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86592","description":"Syphilis Test; Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 2-18 months of age for","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90644","description":"Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 2-18 months of age for","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plicamycin (Mithramycin) Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9270","description":"Plicamycin (Mithramycin) Inj","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter first 15 minutes face-to-face time with physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95983","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter first 15 minutes face-to-face time with physician or other qualified health care professional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Malignant Lesion, Incl Margins, Trunk/Arms/Legs; Excised Diam 0.5 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11600","description":"Excision, Malignant Lesion, Incl Margins, Trunk/Arms/Legs; Excised Diam 0.5 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Treatment, Ectopic Pregnancy; Interstitial W/Partial Resection, Uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59136","description":"Surgical Treatment, Ectopic Pregnancy; Interstitial W/Partial Resection, Uterus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1348.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Spine; Thoracolumbar junction, minimum of 2 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72080","description":"Radiologic Exam, Spine; Thoracolumbar junction, minimum of 2 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Axolotl DualGraft Ultra, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4384","description":"Axolotl DualGraft Ultra, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"cleaning and inspection of removable partial denture, mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9935","description":"cleaning and inspection of removable partial denture, mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Proctoplasty; Prolapse, Mucous Membrane","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45505","description":"Proctoplasty; Prolapse, Mucous Membrane","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":906.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Als Defibrillation Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0392","description":"Als Defibrillation Supplies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexible Fiberoptic Endoscopic Eval, Laryngeal Sensory Test, Cine/Video Recording","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92614","description":"Flexible Fiberoptic Endoscopic Eval, Laryngeal Sensory Test, Cine/Video Recording","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin substitute, Integra matrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4108","description":"Skin substitute, Integra matrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Autograft, Spine Surgery Only; Local, Same Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20936","description":"Autograft, Spine Surgery Only; Local, Same Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":228.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Lymph Node Abscess/Lymphadenitis; Simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38300","description":"Drainage, Lymph Node Abscess/Lymphadenitis; Simple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":410.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient starting antiviral treatment for hepatitis c during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9206","description":"Patient starting antiviral treatment for hepatitis c during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, W/Radical Neck Dissection; W/Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31395","description":"Pharyngolaryngectomy, W/Radical Neck Dissection; W/Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4656.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4656.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acellular xenograft implant; ea addl 100 sq cm, or ea addl 1% of body area of infants and children","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15431","description":"Acellular xenograft implant; ea addl 100 sq cm, or ea addl 1% of body area of infants and children","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone marrow aspirate &biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0364","description":"Bone marrow aspirate &biopsy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cetirizine HCl, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1201","description":"Injection, cetirizine HCl, 0.5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Proctectomy, Partial, W/O Anastomosis, Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45123","description":"Proctectomy, Partial, W/O Anastomosis, Perineal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1719.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 16","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 16","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excise Benign Skin Lesion W/Marg, Excpt Skin Tag Scalp/Neck/Hands/Feet/Genital; Excise Diam 0.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11420","description":"Excise Benign Skin Lesion W/Marg, Excpt Skin Tag Scalp/Neck/Hands/Feet/Genital; Excise Diam 0.5cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transthoracic Insertion Of Catheter For Stent Placement With Catheter Removal And Closure (Eg, Hybrid Approach Stage 1)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33621","description":"Transthoracic Insertion Of Catheter For Stent Placement With Catheter Removal And Closure (Eg, Hybrid Approach Stage 1)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1437.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGK4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1 [Duffy blood group]) exons 1-2.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0187U","description":"Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1 [Duffy blood group]) exons 1-2.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":302.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHNS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meningocococcal polysaccharide vaccine serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90733","description":"Meningocococcal polysaccharide vaccine serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intracutaneous (intradermal) test with allergenic extracts, delayed type reaction, including reading, specify number of tests.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95028","description":"Intracutaneous (intradermal) test with allergenic extracts, delayed type reaction, including reading, specify number of tests.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Organic Acids; Qualitative, Each Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83919","description":"Organic Acids; Qualitative, Each Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Division, Stricture, Rectum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45150","description":"Division, Stricture, Rectum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":552.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Morphometric Analysis, In Situ Hybridization, (Quantitative Or Semi-Quantitative) Each Probe; Manual","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88368","description":"Morphometric Analysis, In Situ Hybridization, (Quantitative Or Semi-Quantitative) Each Probe; Manual","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":174.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":112.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Modality To 1+ Areas; Ultraviolet","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97028","description":"Application, Modality To 1+ Areas; Ultraviolet","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc mntl hlth assessb/4 intrvn-bksurg/epid injxn","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2044F","description":"Doc mntl hlth assessb/4 intrvn-bksurg/epid injxn","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the reporting period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9457","description":"Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the reporting period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5913","description":"Nasal Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5220.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 35","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 35","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tendon, Palm, Flexor, Single (Sep Proc), Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26170","description":"Excision, Tendon, Palm, Flexor, Single (Sep Proc), Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":615.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MS Rehab - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1EC31","description":"Early - Community, MS Rehab - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg); all night recording","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95827","description":"Electroencephalogram (Eeg); all night recording","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":994.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":994.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Genioplasty; Sliding, Augmentation W/Interpositional Bone Grafts W/Obtaining Autograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21123","description":"Genioplasty; Sliding, Augmentation W/Interpositional Bone Grafts W/Obtaining Autograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1381.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MRI compatible system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0859","description":"MRI compatible system","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1340.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1089.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Abdomen; Single Anteroposterior View","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74000","description":"Radiologic Exam, Abdomen; Single Anteroposterior View","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pelvic Control Hip Heavy Dut","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2620","description":"Pelvic Control Hip Heavy Dut","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":281.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":346.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Voltage-gated calcium channel antibody, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86596","description":"Voltage-gated calcium channel antibody, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFK3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Soft Tissue, Foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28046","description":"Radical Resection, Tumor, Soft Tissue, Foot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1111.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy W/Drainage, Intramedullary Cyst/Syrinx; To Peritoneal Space","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63173","description":"Laminectomy W/Drainage, Intramedullary Cyst/Syrinx; To Peritoneal Space","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2653.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; Entire Arch","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40844","description":"Vestibuloplasty; Entire Arch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1974.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90686","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for LV pacing & imaging supervision & interpretation, when performed; both components of pulse generator (battery & transmitter) only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0517T","description":"Insertion of wireless cardiac stimulator for LV pacing & imaging supervision & interpretation, when performed; both components of pulse generator (battery & transmitter) only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":664.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81260","description":"Inhibtr Of Kappa Light Plypeptide Gene Enhancr In B-Cells, Kinase Complex-Assoc Protein Gene Analysis, Common Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":43.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection of diagnostic or therapeutic substance including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral; with imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62323","description":"Injection of diagnostic or therapeutic substance including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral; with imaging guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":367.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apnea hypopna index (ahi) or respiratory disturbance index (rdi) not measured at the time of initial diagnosis, reason not specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8844","description":"Apnea hypopna index (ahi) or respiratory disturbance index (rdi) not measured at the time of initial diagnosis, reason not specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy Pouch Liq Deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4394","description":"Ostomy Pouch Liq Deodorant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein, Total, Except By Refractometry; Other Source (Eg, Synovial Fluid, Cerebrospinal Fluid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84157","description":"Protein, Total, Except By Refractometry; Other Source (Eg, Synovial Fluid, Cerebrospinal Fluid)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Long Arm Splint (Shoulder To Hand)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29105","description":"Application, Long Arm Splint (Shoulder To Hand)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":133.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No tPA init w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8602","description":"No tPA init w/in 3 hrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystotomy W/Stone Basket Extraction/Ultrasonic &/Or Electrohydraulic Fragmentation Ureter Calc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51065","description":"Cystotomy W/Stone Basket Extraction/Ultrasonic &/Or Electrohydraulic Fragmentation Ureter Calc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":885.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computed Tomography, Heart, without Contrast Material, with Quantitative Evaluation of Coronary Calcium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75571","description":"Computed Tomography, Heart, without Contrast Material, with Quantitative Evaluation of Coronary Calcium","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":107.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":43.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CHMV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0441T","description":"Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multi Step; Helicobacter Pylori","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87339","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multi Step; Helicobacter Pylori","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28100","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Talus/Calcaneus;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":928.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Control Nasopharyngeal Hemorrhage; W/Secondary Surgical Intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42972","description":"Control Nasopharyngeal Hemorrhage; W/Secondary Surgical Intervention","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":781.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 38","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 38","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Glenohumeral Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23800","description":"Arthrodesis, Glenohumeral Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1550.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22220","description":"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2458.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"17-Hydroxypregnenolone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84143","description":"17-Hydroxypregnenolone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":25.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFPU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9166","description":"Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"guided tissue regeneration – resorbable barrier, per implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6106","description":"guided tissue regeneration – resorbable barrier, per implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":585.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transmetacarpal Amputation; Re-Amputation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25931","description":"Transmetacarpal Amputation; Re-Amputation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1099.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug resistance gene","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0112U","description":"Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug resistance gene","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":391.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Saphenopopliteal Vein Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34530","description":"Saphenopopliteal Vein Anastomosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1474.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64483","description":"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":327.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Upper Gi Tract; W/Wo Delayed Images, W/Kub","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74241","description":"Radiologic Exam, Upper Gi Tract; W/Wo Delayed Images, W/Kub","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Intertarsal/Tarsometatarsal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28020","description":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Intertarsal/Tarsometatarsal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":825.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer–related disorders, genomic sequence analysis and deletion/duplication analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0129U","description":"Hereditary breast cancer–related disorders, genomic sequence analysis and deletion/duplication analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1434.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1434.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Paraesophageal Hiatal Hernia, Via Thoracoabd Incision, Except Neonatal; W Implantation Of Mesh/Other Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43337","description":"Repair, Paraesophageal Hiatal Hernia, Via Thoracoabd Incision, Except Neonatal; W Implantation Of Mesh/Other Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2499.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGNW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor-Plasty, Elbow; W/Extensor Advancement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24331","description":"Flexor-Plasty, Elbow; W/Extensor Advancement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1182.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Local Lesion, Epididymis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54830","description":"Excision, Local Lesion, Epididymis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":570.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGKU","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHPU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Lift Hydraulic - with Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0630","description":"Patient Lift Hydraulic - with Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clotting; Factor Viii Related Antigen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85244","description":"Clotting; Factor Viii Related Antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGP5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinogen; Antigen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85385","description":"Fibrinogen; Antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Orthopedic Shoe Modifica Nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3649","description":"Orthopedic Shoe Modifica Nos","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1105.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1105.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Compression stocking BK30-40","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6531","description":"Compression stocking BK30-40","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AW"},{"negotiated_type":"fee schedule","negotiated_rate":47.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":93.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFK1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office/Op Visit, New Pt, 3 Key Components: Detailed Hx; Detailed Exam; Med Decision Low Complexity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office/Op Visit, New Pt, 3 Key Components: Detailed Hx; Detailed Exam; Med Decision Low Complexity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amniomatrix or biodmatrix, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4139","description":"Amniomatrix or biodmatrix, injectable, 1 cc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"3 Cc Sterile Syringe&Needle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4208","description":"3 Cc Sterile Syringe&Needle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring; interpretation and report only.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93018","description":"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous ECG monitoring; interpretation and report only.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy; With Removal Of Bronchial Valve(s), Initial Lobe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31648","description":"Bronchoscopy; With Removal Of Bronchial Valve(s), Initial Lobe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":295.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Powered Pres-Redu Air Mattrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0277","description":"Powered Pres-Redu Air Mattrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3258.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3258.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Small Intestinal Endo/Enteroscopy, > 2nd Portion Duodenum, Not W/Ileum; W/Bx, Single/Multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44361","description":"Small Intestinal Endo/Enteroscopy, > 2nd Portion Duodenum, Not W/Ileum; W/Bx, Single/Multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Anesthetic Agent; Superior Hypogastric Plexus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64517","description":"Injection, Anesthetic Agent; Superior Hypogastric Plexus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":279.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0554T","description":"Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health- related quality of life not assessed with tool for documented reason(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9635","description":"Health- related quality of life not assessed with tool for documented reason(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Emerge Matrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4297","description":"Emerge Matrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1697.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0221T","description":"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2273.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (pan tumor), whole gen seq/optical gen mapping of paired mal /normal DNA specimens, fresh tissue, blood, or bone marrow, comparative sequence analyses and variant ID","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0300U","description":"Oncology (pan tumor), whole gen seq/optical gen mapping of paired mal /normal DNA specimens, fresh tissue, blood, or bone marrow, comparative sequence analyses and variant ID","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4601.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33019","description":"Pericardial drainage with insertion of indwelling catheter, percutaneous, including CT guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":385.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Uterine Evacuation & Curettage, Hydatidiform Mole","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59870","description":"Uterine Evacuation & Curettage, Hydatidiform Mole","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":721.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33660","description":"Repair, Incomplete/Partial Atrioventricular Canal, W/Wo Atrioventricular Valve Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2715.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Scanning Computerized Ophthalmic Diagnostic Imaging, Anterior Segment, With Interpretation And Report, Unilat Or Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92132","description":"Scanning Computerized Ophthalmic Diagnostic Imaging, Anterior Segment, With Interpretation And Report, Unilat Or Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Diphtheria, Tetanus Toxoids, & Whole Cell Pertussis Vaccine (Dtp), Im Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90701","description":"Diphtheria, Tetanus Toxoids, & Whole Cell Pertussis Vaccine (Dtp), Im Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0122U","description":"Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":578.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37722","description":"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":736.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carbon Dioxide (Bicarbonate)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82374","description":"Carbon Dioxide (Bicarbonate)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33665","description":"Repair, Intermediate/Transitional Atrioventricular Canal, W/Wo Valve Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3038.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHPW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flow Cytometry, Interpretation; 9 To 15 Markers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88188","description":"Flow Cytometry, Interpretation; 9 To 15 Markers","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic analysis with simple programming of implanted integrated neurostimulation system, spinal cord or sacral nerve, 1-3 parameters","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0788T","description":"Electronic analysis with simple programming of implanted integrated neurostimulation system, spinal cord or sacral nerve, 1-3 parameters","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interpretation/Explanation Results, Psychiatric/Medical Exam/Proc W/Family","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90887","description":"Interpretation/Explanation Results, Psychiatric/Medical Exam/Proc W/Family","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":131.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":131.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"}]}]},{"negotiation_arrangement":"ffs","name":"Flow Cytometry, Interpretation; 16 Or More Markers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88189","description":"Flow Cytometry, Interpretation; 16 Or More Markers","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dark Field Exam, Any Source; W/Specimen Collection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87164","description":"Dark Field Exam, Any Source; W/Specimen Collection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Trans elec jt stim dev sys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0762","description":"Trans elec jt stim dev sys","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2369.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2369.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":150.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81192","description":"NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg, solid tumors) translocation analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":228.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Athletic training eval, mod complexity, requiring: med hx and physical activity profile 1-2 comorbidities; exam of body area addressing  3+ elements; clinical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97170","description":"Athletic training eval, mod complexity, requiring: med hx and physical activity profile 1-2 comorbidities; exam of body area addressing  3+ elements; clinical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43198","description":"Esophagoscopy, flexible, transnasal; with biopsy, single or multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":315.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Emg, Needle; 3 Extremities W/Wo Related Paraspinal Areas","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95863","description":"Emg, Needle; 3 Extremities W/Wo Related Paraspinal Areas","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Spine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22899","description":"Unlisted Proc, Spine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tubouterine Implantation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58752","description":"Tubouterine Implantation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1367.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rep Transposit Grt Vessel+rem Band","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33783","description":"Rep Transposit Grt Vessel+rem Band","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5396.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5396.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"0of6: chst X-ray-CT-US-MRI-PET, nucl med scans","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3320F","description":"0of6: chst X-ray-CT-US-MRI-PET, nucl med scans","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9819","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antilipid treat disch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8585","description":"Antilipid treat disch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pinworm Examinations","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0113","description":"Pinworm Examinations","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2-Stage, Reconstr/Repair, Prostatic/Membranous Urethra; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53420","description":"Urethroplasty, 2-Stage, Reconstr/Repair, Prostatic/Membranous Urethra; 1st Stage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1287.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Helicobacter Pylori, Stool","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Helicobacter Pylori, Stool","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81244","description":"FMR1 (fragile X messenger ribonucleoprotein 1) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":49.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFP4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 19","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ventriculocisternostomy, 3rd Ventricle; Stereotactic, Neuroendoscopic  Method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62201","description":"Ventriculocisternostomy, 3rd Ventricle; Stereotactic, Neuroendoscopic  Method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1869.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Disconnect Insert Locking Wr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6616","description":"Disconnect Insert Locking Wr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":91.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of reason(s) sentinel lymph node biopsy not performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8880","description":"Documentation of reason(s) sentinel lymph node biopsy not performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystectomy, Partial; Simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51550","description":"Cystectomy, Partial; Simple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1477.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoassay, Infectious Agent Antibody, Qualitative, Semiquantitative, Single Step","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86318","description":"Immunoassay, Infectious Agent Antibody, Qualitative, Semiquantitative, Single Step","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Epicardial Electrode(s); Endoscopic Approach (Eg, Thoracoscopy, Pericardioscopy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33203","description":"Insertion of Epicardial Electrode(s); Endoscopic Approach (Eg, Thoracoscopy, Pericardioscopy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1237.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2222","description":"Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":25.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wrist Gauntlet Molded To Pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3906","description":"Wrist Gauntlet Molded To Pt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":362.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":446.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clotting; Factor Vii (Proconvertin, Stable Factor)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85230","description":"Clotting; Factor Vii (Proconvertin, Stable Factor)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Posterior Segmental Instrumentation; 3-6 Vertebral Segments","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22842","description":"Posterior Segmental Instrumentation; 3-6 Vertebral Segments","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1184.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc of med reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom tx of hypertension with standard tx goals is not clinically approp","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8772","description":"Doc of med reason(s) for not performing urine protein test (e.g., patients with palliative goals or for whom tx of hypertension with standard tx goals is not clinically approp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mechanical Removal of Pericath Obstructive Material (Eg, Fibrin Sheath) From Central Venous Device Via Separate Access","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36595","description":"Mechanical Removal of Pericath Obstructive Material (Eg, Fibrin Sheath) From Central Venous Device Via Separate Access","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":880.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 52","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 52","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the lumbar impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8659","description":"Risk-adjusted functional status change residual score for the lumbar impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drop Lock Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2182","description":"Drop Lock Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":118.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monoclonal Antibodies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7505","description":"Monoclonal Antibodies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1633.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mri, Pelvis; W/O Contrast Matl(S), Followed By Contrast Matl(S) & Further Sequences","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72197","description":"Mri, Pelvis; W/O Contrast Matl(S), Followed By Contrast Matl(S) & Further Sequences","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":585.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":756.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy W/Cordotomy, W/Section, Both Spinothalamic Tracts, 1 Stage; Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63196","description":"Laminectomy W/Cordotomy, W/Section, Both Spinothalamic Tracts, 1 Stage; Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2164.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroid Carcinoma Metastases Uptake","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78020","description":"Thyroid Carcinoma Metastases Uptake","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":128.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Mri, Lower Extremity, Other Than Joint; W/O Contrast Matl(S), Followed Contrast Matl(S) & Furthr Seq","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73720","description":"Mri, Lower Extremity, Other Than Joint; W/O Contrast Matl(S), Followed Contrast Matl(S) & Furthr Seq","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":751.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":588.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Vkorc1 (Vitamin K Epoxide Reductase Complex, Subunit 1) (Eg, Warfarin Metabolism), Gene Analysis, Common Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81355","description":"Vkorc1 (Vitamin K Epoxide Reductase Complex, Subunit 1) (Eg, Warfarin Metabolism), Gene Analysis, Common Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, anti-spasmotic intravenous therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9363","description":"Home infusion therapy, anti-spasmotic intravenous therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic procedures to improve respiratory function , other than described  by G0237,  one on one, face to face, per","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0238","description":"Therapeutic procedures to improve respiratory function , other than described  by G0237,  one on one, face to face, per","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia and use of an operating room","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0330","description":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia and use of an operating room","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prophylactic Treatment, Tibia, W/Wo Methylmethacrylate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27745","description":"Prophylactic Treatment, Tibia, W/Wo Methylmethacrylate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1151.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology(lung cancer), four-probe FISH(3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithm-generated evaluation; decreased or increased risk for lung cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0317U","description":"Oncology(lung cancer), four-probe FISH(3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive algorithm-generated evaluation; decreased or increased risk for lung cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2233.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast study, including glucagon, when administered","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74280","description":"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast study, including glucagon, when administered","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":75.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0433","description":"Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":20.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed ditromethamine, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9323","description":"Injection, pemetrexed ditromethamine, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4039","description":"Cast supplies, short leg cast, pediatric (0-10 years), plaster","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Bone Tumor, Proximal Humerus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23220","description":"Radical Resection, Bone Tumor, Proximal Humerus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2976.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subtotal/Total Hysterectomy After Cesarean Delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59525","description":"Subtotal/Total Hysterectomy After Cesarean Delivery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":747.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 1.1-2.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11312","description":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 1.1-2.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apolipoprotein, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82172","description":"Apolipoprotein, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":23.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64581","description":"Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1014.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5CFK4","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mediastinoscopy; includes biopsy(ies) of mediastinal mass, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39401","description":"Mediastinoscopy; includes biopsy(ies) of mediastinal mass, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":478.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Performance Status Documented and Reviewed within Two Weeks Prior to Surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3328F","description":"Performance Status Documented and Reviewed within Two Weeks Prior to Surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy W/Ureteroscopy; W/Treatment Intra-Renal Stricture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52346","description":"Cystourethroscopy W/Ureteroscopy; W/Treatment Intra-Renal Stricture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":684.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Battery elec/combo vad, rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0496","description":"Battery elec/combo vad, rep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1725.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chromosome Analysis In Situ, Amniotic Fluid Cells, From 6-12 Colonies, 1 Karyotype W/Banding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88269","description":"Chromosome Analysis In Situ, Amniotic Fluid Cells, From 6-12 Colonies, 1 Karyotype W/Banding","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":191.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision/Removal, Intracranial Neurostimulator Electrodes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61880","description":"Revision/Removal, Intracranial Neurostimulator Electrodes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":879.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Treatment, Swallowing Dysfunction &/Or Oral Function, Feeding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92526","description":"Treatment, Swallowing Dysfunction &/Or Oral Function, Feeding","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 25","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 25","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Evaluation and management of a beneficiary's acute change in condition in a nursing facility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9685","description":"Evaluation and management of a beneficiary's acute change in condition in a nursing facility","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, remdesivir, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0248","description":"Injection, remdesivir, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"RNA testing for hepatitis C was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis C, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9204","description":"RNA testing for hepatitis C was not documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis C, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mucin, Synovial Fluid (Ropes Test)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83872","description":"Mucin, Synovial Fluid (Ropes Test)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Counseling About Epilepsy Specific Safety Issues Provided to Patient (or Caregiver (s))","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4330F","description":"Counseling About Epilepsy Specific Safety Issues Provided to Patient (or Caregiver (s))","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 8","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 8","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Helicobacter pylori det&antibiotic resist/DNA/16S&23S rRNA/gyrA/pbp1/rdxA&rpoB/next gen seq, formalin-fixed paraffin embed/fresh tissue, pred, report +/-","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0008U","description":"Helicobacter pylori det&antibiotic resist/DNA/16S&23S rRNA/gyrA/pbp1/rdxA&rpoB/next gen seq, formalin-fixed paraffin embed/fresh tissue, pred, report +/-","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":657.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":657.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Pt Recvng Foods, Fluids Or Med By Mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6015F","description":"Pt Recvng Foods, Fluids Or Med By Mouth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87498","description":"Infectious Agent Detection by Nucleic Acid (DNA or RNA); Enterovirus, Amplified Probe Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFNV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGM6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual scores for neck,cranium,mandible,thoracic spine,ribs, gen ortho impair not measured, pt didnt complete FOTO's,reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8674","description":"Risk-adjusted functional status change residual scores for neck,cranium,mandible,thoracic spine,ribs, gen ortho impair not measured, pt didnt complete FOTO's,reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Soft Tissue, Shoulder Area","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23077","description":"Radical Resection, Tumor, Soft Tissue, Shoulder Area","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1747.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHM2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Vaginal Hematoma; Obstetrical/Postpartum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57022","description":"Incision & Drainage, Vaginal Hematoma; Obstetrical/Postpartum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":259.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Torsion Straight Knee Joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2380","description":"Torsion Straight Knee Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":112.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Benzodiazepines; 13 or more","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80347","description":"Benzodiazepines; 13 or more","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Systemic antimicrobials not prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9959","description":"Systemic antimicrobials not prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BFK2","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic adjustable elbow extension and flexion device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1800","description":"Dynamic adjustable elbow extension and flexion device, includes soft interface material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":167.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80375","description":"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFLX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone-Sulfate (Dhea-S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82627","description":"Dehydroepiandrosterone-Sulfate (Dhea-S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Annual nursing facility assessment, detailed history; comp exam; low to mod decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99318","description":"Annual nursing facility assessment, detailed history; comp exam; low to mod decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, electronic connection between wheelchair controller","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2311","description":"Power wheelchair accessory, electronic connection between wheelchair controller","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2799.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3975.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Automated quantification & characterization  coronary atherosclerotic plaque to assess severity of coronary disease, using data frm coronary computed tomographic angiography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0623T","description":"Automated quantification & characterization  coronary atherosclerotic plaque to assess severity of coronary disease, using data frm coronary computed tomographic angiography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":380.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pontic - Cast Predominantly Base Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6211","description":"Pontic - Cast Predominantly Base Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":590.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Synovectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7854","description":"Synovectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5577.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Bone; Tibia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27645","description":"Radical Resection, Tumor, Bone; Tibia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2713.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81234","description":"DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0428","description":"Collagen meniscus implant procedure for filling meniscal defects (e.g., cmi, collagen scaffold, menaflex)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0217T","description":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Fb In Muscle/Tendon Sheath; Deep/Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20525","description":"Removal, Fb In Muscle/Tendon Sheath; Deep/Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":721.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BGKW","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, meropenem (B. Braun), not therapeutically equivalent to J2185, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2184","description":"Injection, meropenem (B. Braun), not therapeutically equivalent to J2185, 100 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abdominal Paracentesis (Diagnostic Or Therapeutic); With Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49083","description":"Abdominal Paracentesis (Diagnostic Or Therapeutic); With Imaging Guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":443.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Daunorubicin Citrate Liposom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9151","description":"Daunorubicin Citrate Liposom","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adenoidectomy, Secondary; Age 12+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42836","description":"Adenoidectomy, Secondary; Age 12+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":367.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fixed Wing Air Transport","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0430","description":"Fixed Wing Air Transport","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3697.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of ri","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9317","description":"Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of ri","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Halo, W/Removal; Pelvic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20662","description":"Application, Halo, W/Removal; Pelvic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":660.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acetylcholinesterase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82013","description":"Acetylcholinesterase","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1390","description":"Oxygen Concentrator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11463","description":"Excision, Skin & Subq Tissue, Hidradenitis, Inguinal; W/Complex Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Endocrine - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2IC21","description":"Early - Institutional, MMTA - Endocrine - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9733","description":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"NovaFix DL, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4254","description":"NovaFix DL, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":355.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Skeletal Fixation, Fx Great Toe, Phalanx/Phalanges, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28496","description":"Percutaneous Skeletal Fixation, Fx Great Toe, Phalanx/Phalanges, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":682.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52442","description":"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to c","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1428.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHP6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, plantar fascia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28890","description":"Extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, plantar fascia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":495.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 43","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 43","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diab Shoe For Density Insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5500","description":"Diab Shoe For Density Insert","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":86.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc, Peyronie Disease; W/Surgical Exposure, Plaque","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54205","description":"Injection Proc, Peyronie Disease; W/Surgical Exposure, Plaque","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":814.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unspecified Oral Anti-Emetic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0181","description":"Unspecified Oral Anti-Emetic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction By Neurolytic Agt, Paraverteb Facet Joint Nrvs, W Imaging Guidance; Cervical Or Thoracic, Ea Addl Facet Jt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64634","description":"Destruction By Neurolytic Agt, Paraverteb Facet Joint Nrvs, W Imaging Guidance; Cervical Or Thoracic, Ea Addl Facet Jt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Carpometacarpal Dislocation, Thumb, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26641","description":"Closed Treatment, Carpometacarpal Dislocation, Thumb, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":564.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1840","description":"Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":522.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Hysteroscopy, Surgical; With Bilateral Fallopian Tube Cannulation To Induce Occlusion By Placement Of Permanent Implants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58565","description":"Hysteroscopy, Surgical; With Bilateral Fallopian Tube Cannulation To Induce Occlusion By Placement Of Permanent Implants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2817.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Self-adherent bandage, elastic, non-knitted/non-woven, width 3-5 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6454","description":"Self-adherent bandage, elastic, non-knitted/non-woven, width 3-5 in. per yard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-w/progres","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9073","description":"Onc dx brst stg3-w/progres","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33958","description":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":280.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer disorders, targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, MSH6, MUTYH, PMS2, PTEN, and TP53)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0130U","description":"Hereditary colon cancer disorders, targeted mRNA sequence analysis panel (APC, CDH1, CHEK2, MLH1, MSH2, MSH6, MUTYH, PMS2, PTEN, and TP53)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":643.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":643.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFM6","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urinalysis; Two/Three Glass Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81020","description":"Urinalysis; Two/Three Glass Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual scores for neck, cranium, mandible, thoracic spine, ribs, gen orthopaedic impairment not measured, pt didnt complete FOTO's","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8673","description":"Risk-adjusted functional status change residual scores for neck, cranium, mandible, thoracic spine, ribs, gen orthopaedic impairment not measured, pt didnt complete FOTO's","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGK4","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apnea hypopnea index, respiratory disturbance index or respiratory event index not measured within 2 months of initial sleep apnea evaluation, no reason provided","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8844","description":"Apnea hypopnea index, respiratory disturbance index or respiratory event index not measured within 2 months of initial sleep apnea evaluation, no reason provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0010U","description":"Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":469.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":469.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Incision, Extensor Tendon Sheath, Wrist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25000","description":"Incision, Extensor Tendon Sheath, Wrist","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":509.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Coordinated care fee, risk adjusted maintenance, Level 4","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9010","description":"Coordinated care fee, risk adjusted maintenance, Level 4","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hip Disartic Sach Thermopls","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5595","description":"Hip Disartic Sach Thermopls","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5291.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4300.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Pelvic ring fracture uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0413","description":"Pelvic ring fracture uni/bil","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1630.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Muscle, myocutaneous, or fascioucutaneous flap; lower extremity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15738","description":"Muscle, myocutaneous, or fascioucutaneous flap; lower extremity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2120.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2120.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0103U","description":"Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1918.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tourniquet for dialysis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4929","description":"Tourniquet for dialysis, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 15","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 15","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3918","description":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":110.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy Accessory Convex Inse","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5093","description":"Ostomy Accessory Convex Inse","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 21","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 21","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of fixed bilateral space maintainer - mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1558","description":"Removal of fixed bilateral space maintainer - mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary prostate CA-related disorders, genomic seq anlys panel using NGS, Sanger seq, MLPA, and CGH, eval of 23 genes pathologic mutations rprtd w/risk for prostate CA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0475U","description":"Hereditary prostate CA-related disorders, genomic seq anlys panel using NGS, Sanger seq, MLPA, and CGH, eval of 23 genes pathologic mutations rprtd w/risk for prostate CA","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1434.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood count; manual differential WBC count, buffy coat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85009","description":"Blood count; manual differential WBC count, buffy coat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, Modular Segmented Spinal System, Two Rigid Pl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0458","description":"TLSO, Triplanar Control, Modular Segmented Spinal System, Two Rigid Pl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1024.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":832.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Hemi-Wheelchair Fixed Arms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1083","description":"Hemi-Wheelchair Fixed Arms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1696.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1696.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Wrist; 2 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73100","description":"Radiologic Exam, Wrist; 2 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":43.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Joint Capsule, Hand/Finger","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26160","description":"Excision, Lesion, Tendon Sheath/Joint Capsule, Hand/Finger","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":863.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Destruction Lingual Tonsil, Any Method (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42870","description":"Excision/Destruction Lingual Tonsil, Any Method (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":917.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement Aortic Valve W/Cardiopulm Bypass; W/Stentless Tissue Valve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33410","description":"Replacement Aortic Valve W/Cardiopulm Bypass; W/Stentless Tissue Valve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3912.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3912.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Fulguration; Urethral Prolapse","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53275","description":"Excision/Fulguration; Urethral Prolapse","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":402.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Donor Hepatectomy, with Preparation and Maintenance of Allograft, Living Donor; Left Lateral Segment Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47140","description":"Donor Hepatectomy, with Preparation and Maintenance of Allograft, Living Donor; Left Lateral Segment Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5134.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Syme Typ Expandabl Wall Sckt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5630","description":"Syme Typ Expandabl Wall Sckt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":593.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":482.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGL4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paravaginal Defect Repair (W/Repair, Cystocele, Stress Incont, &/Or Incomplete Vaginal Prolapse)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57284","description":"Paravaginal Defect Repair (W/Repair, Cystocele, Stress Incont, &/Or Incomplete Vaginal Prolapse)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1230.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Continuous in-person MON & INT, as needed, during psychedelic medication therapy; 2nd phy/other qual health care prof, concurrent w/ 1st phy/other qual health care prof, ea hr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0821T","description":"Continuous in-person MON & INT, as needed, during psychedelic medication therapy; 2nd phy/other qual health care prof, concurrent w/ 1st phy/other qual health care prof, ea hr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":278.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Metal Frame Recipro Hip & Ca","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2628","description":"Metal Frame Recipro Hip & Ca","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1997.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2457.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumatic compression device, high pressure, rapid inflation/deflation cycle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0675","description":"Pneumatic compression device, high pressure, rapid inflation/deflation cycle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8285.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8285.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":524.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Emergency services, out of the office, which disrupts other scheduled office services, in addition to basic service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99060","description":"Emergency services, out of the office, which disrupts other scheduled office services, in addition to basic service","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, continuous anticoagulant infusion therapy (e.g., Heparin)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9336","description":"Home infusion therapy, continuous anticoagulant infusion therapy (e.g., Heparin)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Malignant Tumor, Mandible; Radical Resection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21045","description":"Excision, Malignant Tumor, Mandible; Radical Resection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1873.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, melphalan (evomela), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9246","description":"Injection, melphalan (evomela), 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient unable to complete the shoulder FS PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9735","description":"Patient unable to complete the shoulder FS PROM at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percussor Elect/Pneum Home M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0480","description":"Percussor Elect/Pneum Home M","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":464.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":947.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every six hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9503","description":"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every six hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carbamazepine; -10,11-epoxide","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80161","description":"Carbamazepine; -10,11-epoxide","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoelectrophoresis; Serum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86320","description":"Immunoelectrophoresis; Serum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":32.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":32.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGN4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 41","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 41","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Wound - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CC11","description":"Late - Institutional, Wound - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s); planar, single area, single day imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78800","description":"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s); planar, single area, single day imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":247.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":298.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Helicobacter pylori, stool","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87338","description":"Helicobacter pylori, stool","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Real time spectral analysis of prostate tissue by fluorescence spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0443T","description":"Real time spectral analysis of prostate tissue by fluorescence spectroscopy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2054","description":"Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LDLC not pres w/i 12 mo prir","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8943","description":"LDLC not pres w/i 12 mo prir","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; With Removal Of Two Lobes (Bilobectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32670","description":"Thoracoscopy, Surgical; With Removal Of Two Lobes (Bilobectomy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2460.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Morphometric Analysis; Skeletal Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88355","description":"Morphometric Analysis; Skeletal Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":88.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":213.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amb Infusion Pump Mechanical","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0779","description":"Amb Infusion Pump Mechanical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Major Peripheral Nerve, Arm/Leg, Except Sciatic; W/Transposition","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64856","description":"Suture, Major Peripheral Nerve, Arm/Leg, Except Sciatic; W/Transposition","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1547.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81173","description":"AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":331.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":331.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Perianal Abscess, Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46050","description":"Incision & Drainage, Perianal Abscess, Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Backbench Standard Preparation Of Cadaver Donor Heart Allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33944","description":"Backbench Standard Preparation Of Cadaver Donor Heart Allograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":536.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24342","description":"Reinsertion, Ruptured Biceps/Triceps Tendon, Distal, W/Wo Tendon Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1180.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Direct Nasal Mucous Membrane Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95065","description":"Direct Nasal Mucous Membrane Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gingivectomy Or Gingivoplasty - Per Quadrant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4210","description":"Gingivectomy Or Gingivoplasty - Per Quadrant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":389.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To Predominantly Base Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6751","description":"Crown - Porcelain Fused To Predominantly Base Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":673.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Synovectomy Knee; Anterior & Posterior W/Popliteal Area","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27335","description":"Arthrotomy, W/Synovectomy Knee; Anterior & Posterior W/Popliteal Area","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1160.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair bearings","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2210","description":"Wheelchair bearings","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Mucormycosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86732","description":"Antibody; Mucormycosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFL2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90658","description":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Gft,Not Vein;vert-Caro.Txpos","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35637","description":"Bypass Gft,Not Vein;vert-Caro.Txpos","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2699.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, with Vein; Brachial Ulnar or Radial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35523","description":"Bypass Graft, with Vein; Brachial Ulnar or Radial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1989.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, CTC sel, morphol characterization & enumeration based on differential EpCAM, cytokeratins 8, 18, & 19, CD45 protein biomarkers, & quantification of ER PD-L1, pb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0491U","description":"Oncology, CTC sel, morphol characterization & enumeration based on differential EpCAM, cytokeratins 8, 18, & 19, CD45 protein biomarkers, & quantification of ER PD-L1, pb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2678.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CSI per asx pt w/PCI 2 yrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8963","description":"CSI per asx pt w/PCI 2 yrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Thyroglossal Cyst, Infected","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60000","description":"Incision & Drainage, Thyroglossal Cyst, Infected","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy Testis, Needle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54500","description":"Biopsy Testis, Needle (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BHMU","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Esophageal Wound/Injury; Cervical Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43410","description":"Suture, Esophageal Wound/Injury; Cervical Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1614.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0303","description":"Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Susceptible studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multiantimicrobial, per plate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corpora Cavernosa-Saphenous Vein Shunt (Priapism Operation), Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54420","description":"Corpora Cavernosa-Saphenous Vein Shunt (Priapism Operation), Unilat/Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1076.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Infectious - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2KC21","description":"Early - Institutional, MMTA - Infectious - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"incidental thyroid nodule <1.0 cm noted in report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9552","description":"incidental thyroid nodule <1.0 cm noted in report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Epithelial Downgrowth, Anterior Chamber, Eye","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65900","description":"Removal, Epithelial Downgrowth, Anterior Chamber, Eye","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1446.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amnio Quad-Core, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4294","description":"Amnio Quad-Core, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2279.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand Restorat Thumb/1 Finger","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6900","description":"Hand Restorat Thumb/1 Finger","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2275.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1849.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Office visit evaluation and management established patient, may not require the presence of a physician or other qualified health care professional.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","description":"Office visit evaluation and management established patient, may not require the presence of a physician or other qualified health care professional.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient and/or care partner decline referral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0041","description":"Patient and/or care partner decline referral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Omental Flap, Extra-Abdominal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49904","description":"Omental Flap, Extra-Abdominal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2177.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGLV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation that a patient does not have a substantial risk of death within one year (Pall Cr)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1151F","description":"Documentation that a patient does not have a substantial risk of death within one year (Pall Cr)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy/Craniotomy, Decompres, W/Wo Duraplasty, W/O Evac Intraparenchymal Hematoma; W/Lobectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61323","description":"Craniectomy/Craniotomy, Decompres, W/Wo Duraplasty, W/O Evac Intraparenchymal Hematoma; W/Lobectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3749.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Capsulotomy, Wrist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25085","description":"Capsulotomy, Wrist","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":679.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinician has documented reason for not performing fasting lipid profile","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8726","description":"Clinician has documented reason for not performing fasting lipid profile","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper Gi Endoscopy; W/Insertion, Guide Wire/Dilation Over Guide Wire","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43248","description":"Upper Gi Endoscopy; W/Insertion, Guide Wire/Dilation Over Guide Wire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":527.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen, W/Phys Interp","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88174","description":"Cytopathology, Cervical/Vaginal, Auto Thin Layer Prep; Auto Screen, W/Phys Interp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Pregnenolone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84140","description":"Pregnenolone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, calf rest/pad, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0995","description":"Wheelchair accessory, calf rest/pad, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical dress holder reuse","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4463","description":"Surgical dress holder reuse","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFM3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Valvotomy, Mitral Valve; Open Heart, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33422","description":"Valvotomy, Mitral Valve; Open Heart, W/Cardiopulmonary Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2569.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of tissue expander with permanent implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11970","description":"Replacement of tissue expander with permanent implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":927.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transoral Approach To Skull Base, Biopsy/Decompres/Excision, Lesion; W/Splitting Tongue &/Or Mandible","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61576","description":"Transoral Approach To Skull Base, Biopsy/Decompres/Excision, Lesion; W/Splitting Tongue &/Or Mandible","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5228.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5228.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 32","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 32","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resection, Condyle(S), Distal End, Phalanx, Each Toe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28153","description":"Resection, Condyle(S), Distal End, Phalanx, Each Toe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":629.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Of Impacted Tooth - Partially Bony","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7230","description":"Removal Of Impacted Tooth - Partially Bony","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":334.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGN3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); Complete (Ie, Hla-A, -B, And -C)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81372","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); Complete (Ie, Hla-A, -B, And -C)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":443.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":443.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, Anterior; Cervical, Add'l Segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63082","description":"Vertebral Corpectomy, Anterior; Cervical, Add'l Segment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":413.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6533","description":"Gc stocking thighlngth 18-30","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Ureterolysis, W/Wo Repositioning, Ureter, Retroperitoneal Fibrosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50715","description":"Ureterolysis, W/Wo Repositioning, Ureter, Retroperitoneal Fibrosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1871.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenolysis, Flexor/Extensor Tendon, Leg &/Or Ankle; Single, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27680","description":"Tenolysis, Flexor/Extensor Tendon, Leg &/Or Ankle; Single, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":653.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CHKW","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGNT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of foreign body, Intranasal; Office Type Procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30310","description":"Removal of foreign body, Intranasal; Office Type Procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":310.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":310.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraprocedural coronary FFR w/ 3D functl mapping of color-coded FFR values for coronary tree, real-time review/interp of possible atherosclerotic stenosis(es) intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0523T","description":"Intraprocedural coronary FFR w/ 3D functl mapping of color-coded FFR values for coronary tree, real-time review/interp of possible atherosclerotic stenosis(es) intervention","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":167.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 29","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 29","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Proximal Humeral Fx, W/Wo Int/Ext Fixation/Tuberosity Repair; W/Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23616","description":"Open Treatment, Proximal Humeral Fx, W/Wo Int/Ext Fixation/Tuberosity Repair; W/Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1895.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1895.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who use palliative care services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9995","description":"Patients who use palliative care services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer, Intermediate, Any Pedicle Flap, Any Location","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15650","description":"Transfer, Intermediate, Any Pedicle Flap, Any Location","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":762.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95708","description":"Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitored","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":261.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Susceptibility Studies, Antimicrob Agent; Mycobacteria, Proportion Method, Ea Agent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87190","description":"Susceptibility Studies, Antimicrob Agent; Mycobacteria, Proportion Method, Ea Agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trabeculostomy ab interno by laser","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0621T","description":"Trabeculostomy ab interno by laser","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pos back post/lat wdth>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2616","description":"Pos back post/lat wdth>=22in","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":581.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":581.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":58.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 0","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Thigh/Knee Area; Subq","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27327","description":"Excision, Tumor, Thigh/Knee Area; Subq","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":694.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Diaphragm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39599","description":"Unlisted Proc, Diaphragm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cone beam CT, limited–image only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0380","description":"Cone beam CT, limited–image only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":303.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoglob Typing (Gc Gm Inv),Ea","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86335","description":"Immunoglob Typing (Gc Gm Inv),Ea","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":32.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":32.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9735","description":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Scrotal Exploration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55110","description":"Scrotal Exploration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":593.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stereoisomer (enantiomer) analysis, single drug class","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80374","description":"Stereoisomer (enantiomer) analysis, single drug class","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43305","description":"Esophagoplasty, Cervical Approach; W/Repair, Tracheoesophageal Fistula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1668.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter implantation coronary sinus reduct device, vas access/closure, R heart cath, venous angiography, coronary sinus angiography, imaging guidance/super/interpret","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0645T","description":"Transcatheter implantation coronary sinus reduct device, vas access/closure, R heart cath, venous angiography, coronary sinus angiography, imaging guidance/super/interpret","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2052.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HPA-3, ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex] antigen CD41 [GPIIb])  gene analysis, common variant, HPA-3a/b (I843S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81107","description":"HPA-3, ITGA2B (integrin, alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex] antigen CD41 [GPIIb])  gene analysis, common variant, HPA-3a/b (I843S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s]; multiple studies at rest and stress","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78492","description":"Myocardial imaging, positron emission tomography (PET), perfusion study (including ventricular wall motion[s] and/or ejection fraction[s]; multiple studies at rest and stress","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1291.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":135.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":1211.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Lymphocyte Transformation, Mitogen (Phytomitogen)/Antigen Induced Blastogenesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86353","description":"Lymphocyte Transformation, Mitogen (Phytomitogen)/Antigen Induced Blastogenesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":53.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9292","description":"Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1, mitotic rate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ABI meas & doc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8513","description":"ABI meas & doc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":188.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":188.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Control Nasal Hemorrhage, Anterior, Complex (Extensive Cautery &/Or Packing) Any Method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30903","description":"Control Nasal Hemorrhage, Anterior, Complex (Extensive Cautery &/Or Packing) Any Method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Concentrator -  With Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1390","description":"Oxygen Concentrator -  With Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hyaluronidase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3473","description":"Hyaluronidase recombinant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Other - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AA31","description":"Late - Institutional, MMTA - Other - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Clostridium Difficile Toxin(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87324","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Clostridium Difficile Toxin(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87662","description":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":56.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42408","description":"Excision, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90626","description":"Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22514","description":"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 verteb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10732.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hosp Bed Total Electr W/ Mat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0265","description":"Hosp Bed Total Electr W/ Mat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9229","description":"Chlamydia, gonorrhea, and syphilis screening results not documented (patient refusal is the only allowed exception)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Pulmonary Service/Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94799","description":"Unlisted Pulmonary Service/Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx mult myeloma stg2 hig","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9128","description":"Onc dx mult myeloma stg2 hig","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exchange Transfusion, Blood; Other Than Newborn","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36455","description":"Exchange Transfusion, Blood; Other Than Newborn","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suction Susp Ak/Knee Disart","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5652","description":"Suction Susp Ak/Knee Disart","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":415.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":511.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27394","description":"Lengthening, Hamstring Tendon; Multiple Tendons, One Leg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":967.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Conjunctiva; W/Adjacent Sclera","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68130","description":"Excision, Lesion, Conjunctiva; W/Adjacent Sclera","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":806.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replantation, Hand (Includes Hand Through Metacarpophalangeal Joints), Complete Amputation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20808","description":"Replantation, Hand (Includes Hand Through Metacarpophalangeal Joints), Complete Amputation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6112.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0449U","description":"Carrier screening for severe inherited conditions, regardless of race or self-identified ancestry, genomic sequence analysis panel, must include analysis of 5 genes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2007.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC Breast Cancer Stage 0, documented (ONC)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3370F","description":"AJCC Breast Cancer Stage 0, documented (ONC)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44800","description":"Excision, Meckel's Diverticulum (Diverticulectomy)/Omphalomesenteric Duct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1173.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, aflibercept-ayyh (Pavblu), biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5147","description":"Injection, aflibercept-ayyh (Pavblu), biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":869.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pathology report includes pT category, pN category, Gleason score and statement about margin status (PATH)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3267F","description":"Pathology report includes pT category, pN category, Gleason score and statement about margin status (PATH)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Current Tobacco Smoker Or Currently Exposed To Secondhand Smoke (Asthma)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032F","description":"Current Tobacco Smoker Or Currently Exposed To Secondhand Smoke (Asthma)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFMS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/dup anal of CYP2D6","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0438U","description":"Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/dup anal of CYP2D6","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Breast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19499","description":"Unlisted Proc, Breast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Xceed TL Matrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4353","description":"Xceed TL Matrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFN3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous injection of allogeneic cellular &or tissue-based product,intervertebral disc,unilateral or bilateral injection,with fluoroscopic guidance,lumbar;each add'l level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0628T","description":"Percutaneous injection of allogeneic cellular &or tissue-based product,intervertebral disc,unilateral or bilateral injection,with fluoroscopic guidance,lumbar;each add'l level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, lumasiran, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0224","description":"Injection, lumasiran, 0.5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":318.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9705","description":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Scr C/V Cyto,Autosys And Md","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0141","description":"Scr C/V Cyto,Autosys And Md","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumothorax, Therapeutic, Intrapleural Injection, Air","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32960","description":"Pneumothorax, Therapeutic, Intrapleural Injection, Air","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carinal Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31766","description":"Carinal Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2735.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHLX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adding Walker To Previously Applied Cast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29440","description":"Adding Walker To Previously Applied Cast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc surveillance for disease","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9052","description":"Onc surveillance for disease","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5783","description":"Addition to lower extremity, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3015.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subtemporal Cranial Decompression (Pseudotumor Cerebri, Slit Ventricle Syndrome)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61340","description":"Subtemporal Cranial Decompression (Pseudotumor Cerebri, Slit Ventricle Syndrome)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2257.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office/Outpatient Visit, New Patient with 3 Key Components: Detailed History; Detailed Exam; Med Decision of Low Complexity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office/Outpatient Visit, New Patient with 3 Key Components: Detailed History; Detailed Exam; Med Decision of Low Complexity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Potent antiretroviral therapy prescribed (HIV)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4276F","description":"Potent antiretroviral therapy prescribed (HIV)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wig any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9282","description":"Wig any type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":187.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 4","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 4","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medical Nutrition Therapy, Reassessment And Subsequent Intervention(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0271","description":"Medical Nutrition Therapy, Reassessment And Subsequent Intervention(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Liver, Needle; Percutaneous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47000","description":"Bx, Liver, Needle; Percutaneous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":461.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power seating system, recline only, with mechanical shear","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1004","description":"Wheelchair accessory, power seating system, recline only, with mechanical shear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10471.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":568.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5752.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation Arteries; Ethmoidal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30915","description":"Ligation Arteries; Ethmoidal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":864.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":864.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid Or Flexible, W/Wo Fluoro Guidance; With Placement Of Bronchial Stent(S), Initial Bronchus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31636","description":"Bronchoscopy, Rigid Or Flexible, W/Wo Fluoro Guidance; With Placement Of Bronchial Stent(S), Initial Bronchus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Cytomegalovirus (Cmv)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86644","description":"Antibody; Cytomegalovirus (Cmv)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.83,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGM5","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g., patient does not return for Mantoux (PPD) skin test evaluation)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9932","description":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g., patient does not return for Mantoux (PPD) skin test evaluation)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Open Axillary Artery Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33363","description":"Transcatheter Aortic Valve Replacement (TAVR/TAVI) With Prosthetic Valve; Open Axillary Artery Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2410.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient receiving first-time biologic and/or immune response modifier therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2182","description":"Patient receiving first-time biologic and/or immune response modifier therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the E&M of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced model episode of care; 40 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9986","description":"Remote in-home visit for the E&M of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced model episode of care; 40 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":295.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81271","description":"HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Echocardiography, Transthoracic, Real-Time 2d, Cardiovascular Stress Test, Interpretation & Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93350","description":"Echocardiography, Transthoracic, Real-Time 2d, Cardiovascular Stress Test, Interpretation & Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":107.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":253.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":360.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve Graft (Includes Obtaining Graft), Single Strand, Hand/Foot; > 4 Cm Length","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64891","description":"Nerve Graft (Includes Obtaining Graft), Single Strand, Hand/Foot; > 4 Cm Length","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1763.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assay Of Haloperidol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80173","description":"Assay Of Haloperidol","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Plastic Operation, Penis, Epispadias, Distal To Sphincter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54380","description":"Plastic Operation, Penis, Epispadias, Distal To Sphincter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1223.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hip Clevis/Thrust Bearing Lo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2610","description":"Hip Clevis/Thrust Bearing Lo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":315.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BFK1","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg; w Revision Previously Placed Intraperitoneal Cannula/Catheter, w Removl of Lumen Obstructive Material","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49325","description":"Laparoscopy, Surg; w Revision Previously Placed Intraperitoneal Cannula/Catheter, w Removl of Lumen Obstructive Material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":636.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Burr Hole Craniotomy w Implantation of Subcortical Electrode Array, w Intraop Microelectrode Recording; ea addl Array","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61868","description":"Burr Hole Craniotomy w Implantation of Subcortical Electrode Array, w Intraop Microelectrode Recording; ea addl Array","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":782.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired CT image","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0807T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired CT image","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No Knee/Ankle Joints W/ Ft B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5210","description":"No Knee/Ankle Joints W/ Ft B","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3792.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3082.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Tendon Sheath, Extensor, Forearm &/Or Wrist W/Free Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25275","description":"Repair, Tendon Sheath, Extensor, Forearm &/Or Wrist W/Free Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1018.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kt/V <1.2 (Clearance Of Urea (Kt)/Volume (V))","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3082F","description":"Kt/V <1.2 (Clearance Of Urea (Kt)/Volume (V))","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Back pain was not measured by the visual analog scale (VAS) or numeric pain scale at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9946","description":"Back pain was not measured by the visual analog scale (VAS) or numeric pain scale at one year (9 to 15 months) postoperatively","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, incl fistula maturation procedures when perf","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation, upper extremity, single access of both the peripheral artery and peripheral vein, incl fistula maturation procedures when perf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13897.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30905","description":"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90627","description":"Tick-borne encephalitis virus vaccine, inactivated; 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SEWHO cap design w/o jnts CF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3961","description":"SEWHO cap design w/o jnts CF","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1427.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1755.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93898","description":"Venous-arterial shunt detection with intravenous microbubble injection performed with transcranial Doppler study of intracranial arteries, complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":432.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AHK1","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ster wd ifx 30 d postop","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8571","description":"Ster wd ifx 30 d postop","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGN5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Fx, Wt Bearing Articular Portion, Distal Tibia; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27824","description":"Closed Treatment, Fx, Wt Bearing Articular Portion, Distal Tibia; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":473.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enteral Feed Supp Pump Per D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4035","description":"Enteral Feed Supp Pump Per D","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"intraoperative cystoscopy performed to evaluate for lower tract injury","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9606","description":"intraoperative cystoscopy performed to evaluate for lower tract injury","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Collect & prep saliva sample","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0417","description":"Collect & prep saliva sample","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AGKV","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Referred For Pulmonary Function Testing Or Peak Cough Expiratory Flow (DSP)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3758F","description":"Patient Referred For Pulmonary Function Testing Or Peak Cough Expiratory Flow (DSP)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve Repair; with Autogenous Vein Graft (Includes Harvest of Vein Graft), Each Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64911","description":"Nerve Repair; with Autogenous Vein Graft (Includes Harvest of Vein Graft), Each Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1551.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Urinalysis Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81099","description":"Unlisted Urinalysis Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Tibiofibular Joint, Proximal/Distal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27871","description":"Arthrodesis, Tibiofibular Joint, Proximal/Distal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1042.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Leg Perthes Orth Toronto Typ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1700","description":"Leg Perthes Orth Toronto Typ","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1806.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1468.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Hosp Bed Total Electr W/ Mat - With Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0265","description":"Hosp Bed Total Electr W/ Mat - With Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33415","description":"Resection/Incision, Subvalvular Tissue, Discrete Subvalvular Aortic Stenosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3128.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray & algorithm reported as 4-year likelihood of coronary event in high-risk populations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0019M","description":"Cardiovascular disease, plasma, analysis of protein biomarkers by aptamer-based microarray & algorithm reported as 4-year likelihood of coronary event in high-risk populations","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":783.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tissue cultured epidermal autograft, f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area, infant/child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15157","description":"Tissue cultured epidermal autograft, f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area, infant/child","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":279.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15772","description":"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":354.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Talymed, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4127","description":"Talymed, per square centimeter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic examination, knee; 3 views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73562","description":"Radiologic examination, knee; 3 views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Knee orthosis, elastic with joints, prefab item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind with expertise","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1810","description":"Knee orthosis, elastic with joints, prefab item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an ind with expertise","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":125.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":101.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Domiciliary/rest home visit, est patient, 2 of: expdd history; expdd exam; low decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99335","description":"Domiciliary/rest home visit, est patient, 2 of: expdd history; expdd exam; low decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, lesion of palate, uvula; with simple primary closure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42106","description":"Excision, lesion of palate, uvula; with simple primary closure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":421.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":421.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"NeoThelium 4L Plus, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4389","description":"NeoThelium 4L Plus, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Semi-Recl Detach","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1110","description":"Wheelchair Semi-Recl Detach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2190.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":138.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2190.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96131","description":"Psychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":166.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown - Full Cast High Noble Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2790","description":"Crown - Full Cast High Noble Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":805.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHN3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multi-Durometer Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5661","description":"Multi-Durometer Symes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":579.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":713.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFL6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFLW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tendon Sheath Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26055","description":"Tendon Sheath Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":840.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Behavioral Health - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2FB11","description":"Early - Institutional, Behavioral Health - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B), full gene analysis, including seq changes in exonic/intronic regions, deletions, duplications, STR expansions, mobile element insertions, and variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0232U","description":"CSTB (cystatin B), full gene analysis, including seq changes in exonic/intronic regions, deletions, duplications, STR expansions, mobile element insertions, and variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":302.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24066","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Deep (Subfascial/Im)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":944.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam; Orbits, Complete, Minimum, 4 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70200","description":"Radiologic Exam; Orbits, Complete, Minimum, 4 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":21.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Socket Insert Knee Articulat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5656","description":"Socket Insert Knee Articulat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":579.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":471.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Colposcopy, Vulva","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"56820","description":"Colposcopy, Vulva","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prox/Distal Extn Prosth, Infrarenal Abdom Aortic/Iliac/False Aneur/Dissection, Add'l Vessel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34826","description":"Prox/Distal Extn Prosth, Infrarenal Abdom Aortic/Iliac/False Aneur/Dissection, Add'l Vessel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":319.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rx ACE or ARB therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8935","description":"Rx ACE or ARB therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and i","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61650","description":"endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis, arterial, including catheter placement, diagnostic angiography, and i","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":825.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgery, Intracranial Arteriovenous Malformation; Dural, Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61692","description":"Surgery, Intracranial Arteriovenous Malformation; Dural, Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5705.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Preparation, Embryo, Transfer (Any Method)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89255","description":"Preparation, Embryo, Transfer (Any Method)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bitewings - Two Films","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0272","description":"Bitewings - Two Films","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Backbench Reconstruction Of Cadaver Or Living Donor Renal Allograft Prior To Transplantation; Arterial Anastomosis, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50328","description":"Backbench Reconstruction Of Cadaver Or Living Donor Renal Allograft Prior To Transplantation; Arterial Anastomosis, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Necropsy (Autopsy), Gross & Microscopic; Stillborn/Newborn W/Brain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88029","description":"Necropsy (Autopsy), Gross & Microscopic; Stillborn/Newborn W/Brain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":382.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"IV thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8602","description":"IV thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or areas; ultrasound, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or areas; ultrasound, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Upper Gi Tract; W/Wo Delayed Films, W/Kub","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74241","description":"Radiologic Exam, Upper Gi Tract; W/Wo Delayed Films, W/Kub","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":175.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Smear, Primary Source W/Interpretation; Wet Mount, For Infectious Agents","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87210","description":"Smear, Primary Source W/Interpretation; Wet Mount, For Infectious Agents","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent single-chamber LPM, RA, incl imaging guidance and device evaluation (eg, interrogation or programming), when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0823T","description":"Transcatheter insertion of permanent single-chamber LPM, RA, incl imaging guidance and device evaluation (eg, interrogation or programming), when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":423.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multiple-fam grp behavior mgmt/modif training for parent(s)/guardian(s)/caregiver(s) of pts w/ mental/phys health diag, admin by phys/other qual health care prof; init 60 mins","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96202","description":"Multiple-fam grp behavior mgmt/modif training for parent(s)/guardian(s)/caregiver(s) of pts w/ mental/phys health diag, admin by phys/other qual health care prof; init 60 mins","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90743","description":"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Synovectomy, Carpometacarpal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26130","description":"Synovectomy, Carpometacarpal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":701.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G6015","description":"Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":516.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Commode Seat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0968","description":"Wheelchair Commode Seat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":386.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":20.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":386.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home or residence visit for the E/M of a new pt., which req. a medically apt history and/or Ex and straightforward medical decision making. Total time of encounter, 15 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99341","description":"Home or residence visit for the E/M of a new pt., which req. a medically apt history and/or Ex and straightforward medical decision making. Total time of encounter, 15 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fern Test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0114","description":"Fern Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27487","description":"Revision, Total Knee Arthroplasty; Femoral & Entire Tibial Component","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2688.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Walker Platform Attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0154","description":"Walker Platform Attachment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":58.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor/Infection; Innominate Bone, Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27077","description":"Radical Resection, Tumor/Infection; Innominate Bone, Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4312.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGM2","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty W/Prosthetic Replacement; Trapezium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25445","description":"Arthroplasty W/Prosthetic Replacement; Trapezium","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1098.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFK1","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Formoterol fumarate, inh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4099","description":"Formoterol fumarate, inh","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reprogramming, Programmable Csf Shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62252","description":"Reprogramming, Programmable Csf Shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":130.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":130.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 5","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Streptococcus, Group A","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87430","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Streptococcus, Group A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Deoxycortisol, 11-","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82634","description":"Deoxycortisol, 11-","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":32.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Subsequent Intensive Care, Per Day, Recovering Low Birth Weight Infant (Present Body Weight of 1500-2500 Grams)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99479","description":"Subsequent Intensive Care, Per Day, Recovering Low Birth Weight Infant (Present Body Weight of 1500-2500 Grams)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assay Of Dipropylacetic Acid (Valproic Acid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80164","description":"Assay Of Dipropylacetic Acid (Valproic Acid)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Femoral Fx, Distal End, Medial/Lateral Condyle, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27510","description":"Closed Treatment, Femoral Fx, Distal End, Medial/Lateral Condyle, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1038.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHK2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9283","description":"Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mohs Micrograph Tech, H/N/H/F/G, or w Surg of Musc, Cart, Bone, Tendn, Nerv, Vessl; Ea Addl Stage After 1st, to 5 Blocks","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17312","description":"Mohs Micrograph Tech, H/N/H/F/G, or w Surg of Musc, Cart, Bone, Tendn, Nerv, Vessl; Ea Addl Stage After 1st, to 5 Blocks","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":585.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54308","description":"Urethroplasty, 2nd Stage Hypospadias Repair (W/Urinary Diversion); < 3 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1094.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extended Ophthalmoscopy W/Retinal Drawing, W/Interpretation & Report; Subsequent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92226","description":"Extended Ophthalmoscopy W/Retinal Drawing, W/Interpretation & Report; Subsequent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2204","description":"Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 46","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 46","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Supervision, Patient, Home Health Agency; 15-29 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99374","description":"Physician Supervision, Patient, Home Health Agency; 15-29 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assembly & Operation, Pump W/Oxygenator/Heat Exchanger; Per One Half Hr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99192","description":"Assembly & Operation, Pump W/Oxygenator/Heat Exchanger; Per One Half Hr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":395.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1GA21","description":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroidectomy, W/Substernal Thyroid; Sternal Split/Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60270","description":"Thyroidectomy, W/Substernal Thyroid; Sternal Split/Transthoracic Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2093.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8667","description":"Residual score for the elbow, wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44700","description":"Exclusion, Small Bowel, Pelvis, Mesh/Prosthesis/Native Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1562.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Advancing care for heart disease MIPS value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0055","description":"Advancing care for heart disease MIPS value pathways","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intensitymodulatedradiation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0179","description":"Intensitymodulatedradiation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 39","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 39","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFNT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cefazolin sodium (WG Critical Care), not therapeutically equivalent to J0690, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0687","description":"Injection, cefazolin sodium (WG Critical Care), not therapeutically equivalent to J0690, 500 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Symphysis Pubis (Including Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27282","description":"Arthrodesis, Symphysis Pubis (Including Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1240.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42335","description":"Sialolithotomy; Submandibular (Submaxillary), Complicated, Intraoral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":570.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crystal Id, Light Microscopy, Body Fluid, Except Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89060","description":"Crystal Id, Light Microscopy, Body Fluid, Except Urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; Enterectomy, Intestinal Resection & Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44202","description":"Laparoscopy, Surgical; Enterectomy, Intestinal Resection & Anastomosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2129.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not receiving screening for hcv infection within the 12 month reporting period (e.g., patient declined, other patient reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9385","description":"Documentation of patient reason(s) for not receiving screening for hcv infection within the 12 month reporting period (e.g., patient declined, other patient reasons)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Complex - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3DA31","description":"Late - Community, Complex - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac Blood Pool Imaging, Gated Equilibrium; Planar, Multiple Studies, Rest/Stress","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78473","description":"Cardiac Blood Pool Imaging, Gated Equilibrium; Planar, Multiple Studies, Rest/Stress","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":339.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":446.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":107.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Sheath Above Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8410","description":"Sheath Above Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Contents, Liquid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0442","description":"Oxygen Contents, Liquid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":79.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"splint – intra-coronal; natural teeth or prosthetic crowns","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4322","description":"splint – intra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":340.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, tocilizumab-bavi (Tofidence), biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5133","description":"Injection, tocilizumab-bavi (Tofidence), biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Lens Material; Aspiration Technique, 1+ Stages","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66840","description":"Removal, Lens Material; Aspiration Technique, 1+ Stages","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1046.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ground Mileage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0425","description":"Ground Mileage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Knee; Complete, 4 or more views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73564","description":"Radiologic Exam, Knee; Complete, 4 or more views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (TDaP) on or between the patient's 10th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9416","description":"Patient had one tetanus, diphtheria toxoids and acellular pertussis vaccine (TDaP) on or between the patient's 10th and 13th birthdays","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77085","description":"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":60.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Disk/Foam Pad +Or- Adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5126","description":"Disk/Foam Pad +Or- Adhesive","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Docu of medical reason(s) for not prescribing FDA-approved anticoagulant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8968","description":"Docu of medical reason(s) for not prescribing FDA-approved anticoagulant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame, width 20-24 in.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2201","description":"Manual wheelchair accessory, nonstandard seat frame, width 20-24 in.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":389.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":38.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Drainage Catheter Change, W/Contrast, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75984","description":"Percutaneous Drainage Catheter Change, W/Contrast, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":106.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; Simple/Intermediate Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11470","description":"Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; Simple/Intermediate Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":620.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjustable Angle Footplate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0040","description":"Adjustable Angle Footplate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":63.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":63.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboplastin Inhibition; Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85705","description":"Thromboplastin Inhibition; Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87806","description":"Infectious agent antigen detection by immunoassay with direct optical observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":36.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Vaginal Hysterectomy, Uterus 250 Gms/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58260","description":"Vaginal Hysterectomy, Uterus 250 Gms/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1243.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Wrist; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25810","description":"Arthrodesis, Wrist; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1321.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGN2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Knee, Any Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27580","description":"Arthrodesis, Knee, Any Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2193.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Metatarsal Fx; W/Manipulation, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28475","description":"Closed Treatment, Metatarsal Fx; W/Manipulation, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 44","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 44","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis – comprehensive series of radiographic images – image capture only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0387","description":"intraoral tomosynthesis – comprehensive series of radiographic images – image capture only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9464","description":"All quality actions for the applicable measures in the sinusitis measures group have been performed for this patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniotomy with Elevation of Bone Flap; for Lobectomy, Other Than Temporal Lobe, Partial/Total, wo Electrocorticography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61540","description":"Craniotomy with Elevation of Bone Flap; for Lobectomy, Other Than Temporal Lobe, Partial/Total, wo Electrocorticography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3363.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43108","description":"Total/Near Total Esophagectomy, W/O Thoracotomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7174.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Ectropion; Extensive","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67917","description":"Repair, Ectropion; Extensive","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":902.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Modality To 1+ Areas; Ultrasound, Each 15 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application, Modality To 1+ Areas; Ultrasound, Each 15 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional Svc, Allergen Immunotherapy W/Provision Extract; Single Injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95120","description":"Professional Svc, Allergen Immunotherapy W/Provision Extract; Single Injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42205","description":"Palatoplasty, Cleft Palate, W/Closure, Alveolar Ridge; Soft Tissue Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1397.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone Graft W/Microvascular Anastomosis; Iliac Crest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20956","description":"Bone Graft W/Microvascular Anastomosis; Iliac Crest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4065.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Filtered Nebulizer Admin Set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7006","description":"Filtered Nebulizer Admin Set","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.34,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81181","description":"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bilat Salpingo-Oophorect W/Omentect, Total Abdom Hyster & Radical Dissect Debulk","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58953","description":"Bilat Salpingo-Oophorect W/Omentect, Total Abdom Hyster & Radical Dissect Debulk","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3109.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bradykinin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82286","description":"Bradykinin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8939","description":"Pain assessment documented as positive, follow-up plan not documented, documentation the patient is not eligible","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ergonovine Provocation Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93024","description":"Ergonovine Provocation Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":85.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":167.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Referral to a physician for an otologic evaluation performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8856","description":"Referral to a physician for an otologic evaluation performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFMV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-3,n1-2,no pr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9084","description":"Onc dx colon t1-3,n1-2,no pr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"FlowerAmnioPatch, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4178","description":"FlowerAmnioPatch, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFMS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0856","description":"PWC gp3 std sing pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1000.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Tendon Transfer/Transplant, Carpometacarpal/Dorsum, Hand; W/O Free Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26480","description":"Tendon Transfer/Transplant, Carpometacarpal/Dorsum, Hand; W/O Free Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1122.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creation, Shunt; Subarachnoid/Subdural-Peritoneal, -Pleural, Other Terminus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62192","description":"Creation, Shunt; Subarachnoid/Subdural-Peritoneal, -Pleural, Other Terminus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient safety and support of positive experiences with anesthesia MIPS value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0059","description":"Patient safety and support of positive experiences with anesthesia MIPS value pathways","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Post-Op Hip Abduct Custom Fa","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1685","description":"Post-Op Hip Abduct Custom Fa","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1308.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGMT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Abscess; Parotid, Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42305","description":"Drainage, Abscess; Parotid, Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":661.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acupuncture, 1+ needles, with electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97814","description":"Acupuncture, 1+ needles, with electrical stimulation; each additional 15 minutes of one-on-one patient contact (listed separately from primary procedure code)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Retroperitoneal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49060","description":"Drainage, Retroperitoneal Abscess; Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1685.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology Hep MRNA 161 Genes Risk Classifier","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0006M","description":"Oncology Hep MRNA 161 Genes Risk Classifier","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":165.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Popliteal-Tibial, -Peroneal Artery/Other Distal Vessels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35571","description":"Bypass Graft, W/Vein; Popliteal-Tibial, -Peroneal Artery/Other Distal Vessels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2064.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Slipped Femoral Epiphysis; Closed Manipulation W/Single/Multiple Pinning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27178","description":"Open Treatment, Slipped Femoral Epiphysis; Closed Manipulation W/Single/Multiple Pinning","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1223.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office/Op Visit, Est Pt, Not Requiring Physician Presence, Typically 5 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","description":"Office/Op Visit, Est Pt, Not Requiring Physician Presence, Typically 5 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, Endovascular, Open Or Percutaneous, Iliac Artery, Unilat, Init Vessel; W Transluminal Angioplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37220","description":"Revascularization, Endovascular, Open Or Percutaneous, Iliac Artery, Unilat, Init Vessel; W Transluminal Angioplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4598.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endovasc repr descending thor aorta; inc lt subclavian art origin, init endoprosthes w/wo aortic extensions, rad sup&int","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75956","description":"Endovasc repr descending thor aorta; inc lt subclavian art origin, init endoprosthes w/wo aortic extensions, rad sup&int","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":525.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Adjustabl Height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0973","description":"Wheelchair Adjustabl Height","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":58.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0347U","description":"Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1469.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fusion In Opposition, Thumb, W/Autogenous Graft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26820","description":"Fusion In Opposition, Thumb, W/Autogenous Graft (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1149.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LVF testing not documented as being performed prior to discharge or in the previous 12 months, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8685","description":"LVF testing not documented as being performed prior to discharge or in the previous 12 months, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"NuDYN DL or NuDYN DL MESH, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4285","description":"NuDYN DL or NuDYN DL MESH, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), anterior segment, with interpretation and report, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92132","description":"Computerized ophthalmic diagnostic imaging (eg, optical coherence tomography [OCT]), anterior segment, with interpretation and report, unilateral or bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Respiratory - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1LC31","description":"Early - Community, MMTA - Respiratory - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHLX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional expiratory volume (FEV1) less than 40% of predicted value (COPD)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3040F","description":"Functional expiratory volume (FEV1) less than 40% of predicted value (COPD)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Palate, Uvula; W/Simple Primary Closure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42106","description":"Excision, Lesion, Palate, Uvula; W/Simple Primary Closure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":421.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":421.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lateral Retinacular Release Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27425","description":"Lateral Retinacular Release Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":679.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with antigens or gases, specify","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95071","description":"Inhalation bronchial challenge testing (not including necessary pulmonary function tests); with antigens or gases, specify","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26560","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":868.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - GI/GU - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4JB31","description":"Late - Institutional, MMTA - GI/GU - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TENSIX, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4146","description":"TENSIX, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Malignant Lesion, Scalp/Neck/Hands/Feet/Genitalia; Diameter 0.6-1.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17271","description":"Destruction, Malignant Lesion, Scalp/Neck/Hands/Feet/Genitalia; Diameter 0.6-1.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":245.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91110","description":"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":1154.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":1386.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGKX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroencephalogram (EEG), continuous recording, physician review, analysis of spike and seizure detection, complete study; >60 hrs, up to 84 hrs of EEG recording, w/o video","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95723","description":"Electroencephalogram (EEG), continuous recording, physician review, analysis of spike and seizure detection, complete study; >60 hrs, up to 84 hrs of EEG recording, w/o video","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":481.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV RNA viral load not below limits of quantification (HIV)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3503F","description":"HIV RNA viral load not below limits of quantification (HIV)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transport Portable Ekg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"R0076","description":"Transport Portable Ekg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26498","description":"Transfer, Tendon To Restore Intrinsic Function; All Four Fingers","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1705.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To & Incl 15 Lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11200","description":"Removal, Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To & Incl 15 Lesions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":133.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHPV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8498","description":"CAD meas qual act perform","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28104","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":808.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy/Craniotomy, Evacuation, Hematoma, Infratentorial; Extradural/Subdural","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61314","description":"Craniectomy/Craniotomy, Evacuation, Hematoma, Infratentorial; Extradural/Subdural","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2841.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Use, Vertical Electrodes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92547","description":"Use, Vertical Electrodes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Abduction Rotation Bar Shoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3140","description":"Abduction Rotation Bar Shoe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":83.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Vitrectomy, Mechanical, Pars Plana Approach; with Removal of Subretinal Membrane","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67043","description":"Vitrectomy, Mechanical, Pars Plana Approach; with Removal of Subretinal Membrane","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1829.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breast prosthesis w adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8031","description":"Breast prosthesis w adhesive","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":369.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Nasal Septal Fx, W/Wo Stabilization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21336","description":"Open Treatment, Nasal Septal Fx, W/Wo Stabilization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":979.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Catheter Anchor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5200","description":"Percutaneous Catheter Anchor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Clinical Pathology Consultation; Limited, W/O Review Pt Hx/Records","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80500","description":"Clinical Pathology Consultation; Limited, W/O Review Pt Hx/Records","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","description":"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":124.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conjunctivoplasty, Reconstruction Cul-De-Sac; W/Conjunctival Graft/Rearrangement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68326","description":"Conjunctivoplasty, Reconstruction Cul-De-Sac; W/Conjunctival Graft/Rearrangement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":970.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patellectomy/Hemipatellectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27350","description":"Patellectomy/Hemipatellectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":990.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8699","description":"Rehabilitation services (occupational, physical or speech) ordered at or prior to discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Root Canal Therapy - Molar (Excluding Final Restoration)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3330","description":"Root Canal Therapy - Molar (Excluding Final Restoration)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":708.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFK3","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breath Test, H. Pylori, Mass Spectometry, Drug Administration & Sample Collection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83014","description":"Breath Test, H. Pylori, Mass Spectometry, Drug Administration & Sample Collection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0172","description":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":122.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Implt neurostim radiofq rec","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8682","description":"Implt neurostim radiofq rec","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7126.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGN5","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation caregiver is trained and certified in dementia care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2185","description":"Documentation caregiver is trained and certified in dementia care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastrectomy, Partial, Distal; W/Formation, Intestinal Pouch","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43634","description":"Gastrectomy, Partial, Distal; W/Formation, Intestinal Pouch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3257.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Calcaneal Fx; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28400","description":"Closed Treatment, Calcaneal Fx; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFKS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Localized Retinal Lesion, 1+ Sessions; Cryotherapy, Diathermy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67208","description":"Destruction, Localized Retinal Lesion, 1+ Sessions; Cryotherapy, Diathermy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":899.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Triamcinolone Acetonide Xipere 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3299","description":"Injection Triamcinolone Acetonide Xipere 1 MG","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Duplex Scan, Aorta, Inferior Vena Cava, Iliac Vasculature/Bypass Grafts; Unilat/Limited","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93979","description":"Duplex Scan, Aorta, Inferior Vena Cava, Iliac Vasculature/Bypass Grafts; Unilat/Limited","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":179.67,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Non-Invasive Study, Lower Extremity Artery, Post Treadmill Stress Test, Complete Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93924","description":"Non-Invasive Study, Lower Extremity Artery, Post Treadmill Stress Test, Complete Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":219.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Tendon Graft, From A Distance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20924","description":"Tendon Graft, From A Distance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":772.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suscept Studies, Antimicrob Agnt; Microdilut/Agar Dilut (Mic/Brkpnt), Ea Multiantimicrob, Per Plate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87186","description":"Suscept Studies, Antimicrob Agnt; Microdilut/Agar Dilut (Mic/Brkpnt), Ea Multiantimicrob, Per Plate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Npm1 (Nucleophosmin) (Eg, Acute Myeloid Leukemia) Gene Analysis, Exon 12 Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81310","description":"Npm1 (Nucleophosmin) (Eg, Acute Myeloid Leukemia) Gene Analysis, Exon 12 Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":271.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Patient admitted for performance of elective carotid intervention","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9689","description":"Patient admitted for performance of elective carotid intervention","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Csf Leakage Detection & Localization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78650","description":"Csf Leakage Detection & Localization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":513.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":468.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Keratoplasty (Corneal Transplant); Lamellar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65710","description":"Keratoplasty (Corneal Transplant); Lamellar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1660.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Revision Procedure, Per Tooth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4268","description":"Surgical Revision Procedure, Per Tooth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":545.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Probe For Use With Oximeter Device, Replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4606","description":"Oxygen Probe For Use With Oximeter Device, Replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":148.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic interventions that focus on cognitive function and compensatory strategies to manage the performance of an activity , direct t contact; each add'l 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97130","description":"Therapeutic interventions that focus on cognitive function and compensatory strategies to manage the performance of an activity , direct t contact; each add'l 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Malignant Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 2.1 To 3.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17283","description":"Destruction, Malignant Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 2.1 To 3.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":368.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFL1","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21196","description":"Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2275.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99285","description":"ERdepartment visit for the E/M of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":259.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":259.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services for allergen immunotherapy in the office or institution of the prescribing physician, including provision of allergenic extract; single injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95120","description":"Professional services for allergen immunotherapy in the office or institution of the prescribing physician, including provision of allergenic extract; single injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15015","description":"Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enterectomy, Resection, Small Intestine; Single Resection & Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44120","description":"Enterectomy, Resection, Small Intestine; Single Resection & Anastomosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1879.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in preschool children or younger (<6 years of age)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2193","description":"Patients with clinical indications for imaging of the head: new onset headache in preschool children or younger (<6 years of age)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Proximal Humeral Fracture, W/Wo Int/Ext Fixation/Tuberosity Repair; W/Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23616","description":"Open Treatment, Proximal Humeral Fracture, W/Wo Int/Ext Fixation/Tuberosity Repair; W/Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1895.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1895.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplif","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0242U","description":"Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplif","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5500.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corf Skilled Nursing Service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0128","description":"Corf Skilled Nursing Service","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thiocyanate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84430","description":"Thiocyanate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD related svs 2-3 mo 20+y","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0318","description":"ESRD related svs 2-3 mo 20+y","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Shoulder, Arthrography, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73040","description":"Radiologic Exam, Shoulder, Arthrography, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":108.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Ulnar Styloid Fracture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25652","description":"Open Treatment, Ulnar Styloid Fracture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":947.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urea Nitrogen, Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84540","description":"Urea Nitrogen, Urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Certified Nurse Midwife MIPS specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0064","description":"Certified Nurse Midwife MIPS specialty set","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patients greater than 85 who received a routine colonoscopy for a reason other than the following: an assessment  of signs/symptoms of a GI tract illness, and/or the patient i","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9661","description":"patients greater than 85 who received a routine colonoscopy for a reason other than the following: an assessment  of signs/symptoms of a GI tract illness, and/or the patient i","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Omphalocele; 1st Stage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49610","description":"Repair, Omphalocele; 1st Stage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":997.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Counseling for diet and physical activity performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8780","description":"Counseling for diet and physical activity performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0478","description":"Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":211.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"12005","description":"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Complex - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4DC11","description":"Late - Institutional, Complex - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Behavioral Health - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4FA11","description":"Late - Institutional, Behavioral Health - Low, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydrocolloid Drg Filler Dry","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6241","description":"Hydrocolloid Drg Filler Dry","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, Rigid; W/Removal, Single Lesion, Hot Forceps/Cautery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45308","description":"Proctosigmoidoscopy, Rigid; W/Removal, Single Lesion, Hot Forceps/Cautery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical de","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0200T","description":"Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical de","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1654.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (prostate), mRNA, microarray gene expression profiling of 22 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81542","description":"Oncology (prostate), mRNA, microarray gene expression profiling of 22 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as metastasis risk score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4260.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4260.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insert Tray W/O Bag/Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4310","description":"Insert Tray W/O Bag/Cath","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":8.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81327","description":"SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":211.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":211.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHM4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Planar seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2292","description":"Planar seat for ped size wc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":311.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":311.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Pregnanetriol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84138","description":"Pregnanetriol","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":23.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0430U","description":"Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing substances, feces, quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Direct admit hospital observ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0379","description":"Direct admit hospital observ","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Synovectomy, Tendon Sheath, Foot; Extensor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28088","description":"Synovectomy, Tendon Sheath, Foot; Extensor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":683.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(S); Single/Multiple Trigger Point(S), 3> Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20553","description":"Injection(S); Single/Multiple Trigger Point(S), 3> Muscle(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (pan tumor), whole transcriptome seq paired mal/norm RNA spec, fresh or FFPE tissue, blood/ bone marrow, comparative seq analyses/xprsn level/chimeric transcript ID","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0298U","description":"Oncology (pan tumor), whole transcriptome seq paired mal/norm RNA spec, fresh or FFPE tissue, blood/ bone marrow, comparative seq analyses/xprsn level/chimeric transcript ID","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3211.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exenteration, Orbit (Does Not Include Skin Graft), Removal, Orbital Contents; Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65110","description":"Exenteration, Orbit (Does Not Include Skin Graft), Removal, Orbital Contents; Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1838.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta, rad sup&int","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75959","description":"Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta, rad sup&int","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":256.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":297.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9293","description":"Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1, mitotic rate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoulder Passive Restor Comp","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6310","description":"Shoulder Passive Restor Comp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4521.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, hypospadias complication(s) (ie, fistula, stricture, diverticula); req extensive dissection, urethroplasty w/flap, patch or tubed graft (incl urinary diversion)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54348","description":"Repair, hypospadias complication(s) (ie, fistula, stricture, diverticula); req extensive dissection, urethroplasty w/flap, patch or tubed graft (incl urinary diversion)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1552.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31395","description":"Pharyngolaryngectomy, with radical neck dissection; with reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4656.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4656.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, C/L Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, C/L Osteotomy; W/O Bone Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1803.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1803.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ammonia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82140","description":"Ammonia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Solid Skin Barrier 6x6","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5121","description":"Solid Skin Barrier 6x6","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":8.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sleep Study, Unattended, Simultaneous Recording; Heart Rate, Oxygen Saturation, Respiratory Analysis, And Sleep Time","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95800","description":"Sleep Study, Unattended, Simultaneous Recording; Heart Rate, Oxygen Saturation, Respiratory Analysis, And Sleep Time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":188.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":188.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":267.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient didn't receive a flu vaccine on or between July 1 of the year prior and June 30 of the measurement period; or didn't have a prior flu vaccine adverse reaction any time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2165","description":"Patient didn't receive a flu vaccine on or between July 1 of the year prior and June 30 of the measurement period; or didn't have a prior flu vaccine adverse reaction any time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AFM5","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Color Vision Exam, Extended","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92283","description":"Color Vision Exam, Extended","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":69.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies & techniques to facilitate the patient's functional performance in the home/community (w/out patient present), face to face; ea addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97551","description":"Caregiver training in strategies & techniques to facilitate the patient's functional performance in the home/community (w/out patient present), face to face; ea addl 15 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pharyngoesophageal Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42953","description":"Pharyngoesophageal Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1513.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Sacral Pressure Ulcer, W/Primary Suture;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15931","description":"Excision, Sacral Pressure Ulcer, W/Primary Suture;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1046.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management colle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97607","description":"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management colle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":608.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Domiciliary/rest home visit, new patient, problem focus history; problem focus exam; straightforward decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99324","description":"Domiciliary/rest home visit, new patient, problem focus history; problem focus exam; straightforward decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":82.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient refused to participate at admission and/or discharge; patient unable to complete the neck FS PROM at admission/discharge; patient self discharged early; medical reason","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2166","description":"Patient refused to participate at admission and/or discharge; patient unable to complete the neck FS PROM at admission/discharge; patient self discharged early; medical reason","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AmchoPlast EXCEL, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4372","description":"AmchoPlast EXCEL, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Wound - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CC21","description":"Late - Institutional, Wound - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myocardial Resection (Ventricular Aneurysmectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33542","description":"Myocardial Resection (Ventricular Aneurysmectomy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4037.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Palatoplasty, Cleft Palate; Major Revision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42215","description":"Palatoplasty, Cleft Palate; Major Revision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1110.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, 1 Nerve, Hand/Foot; Ulnar Motor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64836","description":"Suture, 1 Nerve, Hand/Foot; Ulnar Motor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1257.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HTR2A (5-hydroxytryptamine receptor 2A), HTR2C (5-hydroxytryptamine receptor 2C) (eg, citalopram metabolism) gene analysis, common variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0033U","description":"HTR2A (5-hydroxytryptamine receptor 2A), HTR2C (5-hydroxytryptamine receptor 2C) (eg, citalopram metabolism) gene analysis, common variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":384.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluoroscopy, (Sep Proc), Up To 1 Hr Physician Time, Other Than 71023/71034","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76000","description":"Fluoroscopy, (Sep Proc), Up To 1 Hr Physician Time, Other Than 71023/71034","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Spinal puncture, lumbar, diagnostic;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62270","description":"Spinal puncture, lumbar, diagnostic;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Distal Radioulnar Joint W/Repair, Triangular Cartilage, Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25107","description":"Arthrotomy, Distal Radioulnar Joint W/Repair, Triangular Cartilage, Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":935.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, Cryosurgical, Prostate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55873","description":"Ablation, Cryosurgical, Prostate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10627.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Telephone Evaluation and Management Service Provided by a Physician; 5-10 Minutes of Medical Discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99441","description":"Telephone Evaluation and Management Service Provided by a Physician; 5-10 Minutes of Medical Discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lima Graft Used In 1st Isolated Cabg Pxd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4110F","description":"Lima Graft Used In 1st Isolated Cabg Pxd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0783T","description":"Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Morphometric Analysis, In Situ Hybridization, (Quantitative / Semi-Quant) Ea Probe; By Computer-Assisted Technology","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88367","description":"Morphometric Analysis, In Situ Hybridization, (Quantitative / Semi-Quant) Ea Probe; By Computer-Assisted Technology","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngotomy (Thyrotomy, Laryngofissure); Dx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31320","description":"Laryngotomy (Thyrotomy, Laryngofissure); Dx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":851.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Axillary Lymphadenectomy; Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38740","description":"Axillary Lymphadenectomy; Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colectomy, Total, Abdl, w Proctectomy; w Ileoanal Anastomosis, Includes Loop Ileostomy, and Rectal Mucosectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44157","description":"Colectomy, Total, Abdl, w Proctectomy; w Ileoanal Anastomosis, Includes Loop Ileostomy, and Rectal Mucosectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3316.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Transluminal Coronary Atherectomy; Each Additional Branch Of A Major Coronary Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92925","description":"Percutaneous Transluminal Coronary Atherectomy; Each Additional Branch Of A Major Coronary Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"RUNX1 (runt related transcription factor 1) gene analysis, targeted sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81334","description":"RUNX1 (runt related transcription factor 1) gene analysis, targeted sequence analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Forearm/Arm Cuffs Free Motio","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3720","description":"Forearm/Arm Cuffs Free Motio","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":683.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":841.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mantle DL Matrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4349","description":"Mantle DL Matrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Air Elevator For Heel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0370","description":"Air Elevator For Heel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Thiersch Wire/Suture, Anal Canal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46754","description":"Removal, Thiersch Wire/Suture, Anal Canal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":446.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2103","description":"Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemophilus Influenza B Vaccine (Hib), Prp-D Conjugate, Booster Use Only, Im Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90646","description":"Hemophilus Influenza B Vaccine (Hib), Prp-D Conjugate, Booster Use Only, Im Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tau, total (tTau)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84394","description":"Tau, total (tTau)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Muscle, Myocutaneous/Fasciocutaneous Flap; Lower Extremity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15738","description":"Muscle, Myocutaneous/Fasciocutaneous Flap; Lower Extremity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2120.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2120.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"remission at 12 months not demonstrated by a 12 month PHQ-9 score of less than 5; either PHQ-9 score was not assessed or is greater than or equal to 5","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9510","description":"remission at 12 months not demonstrated by a 12 month PHQ-9 score of less than 5; either PHQ-9 score was not assessed or is greater than or equal to 5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Anesthetic/Steroid, Transforaminal Epidural; Lumbar/Sacral, Single Level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64483","description":"Injection, Anesthetic/Steroid, Transforaminal Epidural; Lumbar/Sacral, Single Level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":327.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Swallowing functional limitation, current status at therapy episode outset and at reporting intervals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8996","description":"Swallowing functional limitation, current status at therapy episode outset and at reporting intervals","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant/abutment supported removable denture for partially edentulous arch – maxillary","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6112","description":"Implant/abutment supported removable denture for partially edentulous arch – maxillary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1575.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, daxibotulinumtoxina-lanm, 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0589","description":"Injection, daxibotulinumtoxina-lanm, 1 unit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77090","description":"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Take home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a Medicare-enrolled opioid treatment program)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2079","description":"Take home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a Medicare-enrolled opioid treatment program)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computed Tomographic Angiography, Heart, Coronary Arteries and Bypass Grafts (When Present), with Contrast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75574","description":"Computed Tomographic Angiography, Heart, Coronary Arteries and Bypass Grafts (When Present), with Contrast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":630.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":451.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Diagnostic Casts","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0470","description":"Diagnostic Casts","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Spine, Cervical; 4 or 5 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72050","description":"Radiologic Exam, Spine, Cervical; 4 or 5 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFLU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reprogramming, Programmable Cerebrospinal fluid Shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62252","description":"Reprogramming, Programmable Cerebrospinal fluid Shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":130.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":130.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic, Prophylactic, or Diagnostic Injection; Intravenous Push, Single or Initial Substance/Drug","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96374","description":"Therapeutic, Prophylactic, or Diagnostic Injection; Intravenous Push, Single or Initial Substance/Drug","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Transhepatic Portography, W/O Hemodynamic Eval, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75887","description":"Percutaneous Transhepatic Portography, W/O Hemodynamic Eval, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":236.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":133.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFMW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enterocystoplasty, W/Bowel Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51960","description":"Enterocystoplasty, W/Bowel Anastomosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2122.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, continuous antiemetic infusion therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9351","description":"Home infusion therapy, continuous antiemetic infusion therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2074","description":"Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Hydrocele; Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55041","description":"Excision, Hydrocele; Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":780.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGP6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gauze <=16 In No W/Sal W/O B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6222","description":"Gauze <=16 In No W/Sal W/O B","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Capsulectomy/Capsulotomy; Interphalangeal Joint, Each Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26525","description":"Capsulectomy/Capsulotomy; Interphalangeal Joint, Each Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":971.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant/abutment supported fixed denture for edentulous arch – maxillary","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6114","description":"Implant/abutment supported fixed denture for edentulous arch – maxillary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2762.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9821","description":"No documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CHKX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 23","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 23","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of intact breast implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19328","description":"Removal of intact breast implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":753.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foam drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2388","description":"Foam drive wheel tire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":57.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81182","description":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett’s esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett’s esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0114U","description":"Gastroenterology (Barrett’s esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as likelihood for Barrett’s esophagus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2131.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGKT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Frozen Blood, Each Unit; Freezing (W/Preparation)& Thawing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86932","description":"Frozen Blood, Each Unit; Freezing (W/Preparation)& Thawing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":130.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":130.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Choledochal Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47715","description":"Excision, Choledochal Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2034.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual scores for elbow, wrist or hand not measured because  patient didt complete FOTO's status near discharge, patient not approp","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8669","description":"Risk-adjusted functional status change residual scores for elbow, wrist or hand not measured because  patient didt complete FOTO's status near discharge, patient not approp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Septoplasty/Submucous Resection W/Wo Cartilage Scoring/Contouring/Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30520","description":"Septoplasty/Submucous Resection W/Wo Cartilage Scoring/Contouring/Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":935.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":935.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"documentation of reason(s) for not screening for uterine malignancy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9619","description":"documentation of reason(s) for not screening for uterine malignancy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Turbinate, Partial/Complete, Any Method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30130","description":"Excision Turbinate, Partial/Complete, Any Method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":571.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surgery/Trauma.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66172","description":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surgery/Trauma.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urethroplasty, Transpubic/Perineal, 1-Stage, Repair/Reconstruct, Prostatic/Membranous Urethra","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53415","description":"Urethroplasty, Transpubic/Perineal, 1-Stage, Repair/Reconstruct, Prostatic/Membranous Urethra","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1730.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Complex, Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet; Add'l 5.0 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"13133","description":"Repair, Complex, Forehead/Cheeks/Chin/Mouth/Neck/Axillae/Genitalia/Hands/Feet; Add'l 5.0 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":269.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt Falls Assess Doc GE 2 Falls/Fall W/ Injury/Yr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1100F","description":"Pt Falls Assess Doc GE 2 Falls/Fall W/ Injury/Yr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0158","description":"Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Thrombectomy/Revision Arteriovenous Fistula Autogen/Nonautogen Dialysis Graft","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0159","description":"Percutaneous Thrombectomy/Revision Arteriovenous Fistula Autogen/Nonautogen Dialysis Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Push Transfusion, Blood, Age 2/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36440","description":"Push Transfusion, Blood, Age 2/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closure, Urethrovaginal Fistula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57310","description":"Closure, Urethrovaginal Fistula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":704.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venipuncture, < Age 3; Scalp Vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","description":"Venipuncture, < Age 3; Scalp Vein","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cesarean Delivery, After Failed Vaginal Delivery, Previous Cesarean Delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59620","description":"Cesarean Delivery, After Failed Vaginal Delivery, Previous Cesarean Delivery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1439.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"U9"},{"negotiated_type":"negotiated","negotiated_rate":1439.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Esophageal Lengthening Procedure (Eg, Collis Gastroplasty Or Wedge Gastroplasty)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43283","description":"Laparoscopy, Surgical, Esophageal Lengthening Procedure (Eg, Collis Gastroplasty Or Wedge Gastroplasty)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Knee Joint Cam Lock Each Joi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2415","description":"Knee Joint Cam Lock Each Joi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":113.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHN5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter W/Bag 3-Way","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4313","description":"Catheter W/Bag 3-Way","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":21.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53446","description":"Removal, Inflatable Urethral/Bladder Neck Sphincter W/Pump/Reservoir/Cuff","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":982.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFM1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Locus (Eg, Hla-A, -B, Or -C), Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81373","description":"Hla Class I Typing, Low Resolution (Eg, Antigen Equivalents); One Locus (Eg, Hla-A, -B, Or -C), Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":140.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Complex - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2DC11","description":"Early - Institutional, Complex - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foot insert, removable, formed to patient foot, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3030","description":"Foot insert, removable, formed to patient foot, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cervicoplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15819","description":"Cervicoplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1205.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGNS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFK2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Backbench Reconstruction Of Cadaver Or Living Donor Intestine Allograft; Arterial Anastomosis, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44721","description":"Backbench Reconstruction Of Cadaver Or Living Donor Intestine Allograft; Arterial Anastomosis, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":592.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"3D printing of a 3D dental surface scan","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0396","description":"3D printing of a 3D dental surface scan","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement Impl Pump Cathet","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0785","description":"Replacement Impl Pump Cathet","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":548.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"KF"},{"negotiated_type":"fee schedule","negotiated_rate":1018.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoe Heel Thomas Extend To B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3470","description":"Shoe Heel Thomas Extend To B","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":71.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19371","description":"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1194.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Search conducted for prior patient imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, medi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9342","description":"Search conducted for prior patient imaging studies completed at non-affiliated external entities within the past 12-months and are available through a secure, authorized, medi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"End-Stage Renal Disease (ESRD) Related Services for Home Dialysis Per Full Month, for Patients Younger Than 2 Yrs of Age","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90963","description":"End-Stage Renal Disease (ESRD) Related Services for Home Dialysis Per Full Month, for Patients Younger Than 2 Yrs of Age","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":815.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, circulating tumor cell selection, morphological characterization & enumeration based on diff CD146, HMW-MAA, CD34 and CD45 protein biomarkers, peripheral blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0490U","description":"Oncology, circulating tumor cell selection, morphological characterization & enumeration based on diff CD146, HMW-MAA, CD34 and CD45 protein biomarkers, peripheral blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2678.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote physiologic monitoring treatment management; first 20 min in a calendar month, requires =1 real-time interactive communication with patient/caregiver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99457","description":"Remote physiologic monitoring treatment management; first 20 min in a calendar month, requires =1 real-time interactive communication with patient/caregiver","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric Restrictive Proc, W/Gastric Bypass, Morbid Obesity; W/Small Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43847","description":"Gastric Restrictive Proc, W/Gastric Bypass, Morbid Obesity; W/Small Bowel Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2726.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Skeletal Fixation, Metacarpophalangeal Dislocation, Single, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26706","description":"Percutaneous Skeletal Fixation, Metacarpophalangeal Dislocation, Single, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":666.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug metabolism, targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and phenotype","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0380U","description":"Drug metabolism, targeted sequence analysis, 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and phenotype","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Interphalangeal Joint Dislocation W/Wo Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28675","description":"Open Treatment, Interphalangeal Joint Dislocation W/Wo Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":893.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible transnephric ureteral stent w fluoroscopic guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50387","description":"Removal and replacement of externally accessible transnephric ureteral stent w fluoroscopic guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paravaginal Defect Repair (Including Repair of Cystocele, if Performed); Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57285","description":"Paravaginal Defect Repair (Including Repair of Cystocele, if Performed); Vaginal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1014.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, Lateral Extracavitary Approach w Decompression Spinal Cord/Nerve Rts; Thoracic/Lumbar, ea addl Seg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63103","description":"Vertebral Corpectomy, Lateral Extracavitary Approach w Decompression Spinal Cord/Nerve Rts; Thoracic/Lumbar, ea addl Seg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":454.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 59","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 59","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81231","description":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":192.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":192.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza A Virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87276","description":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Influenza A Virus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Disease prognosis for rheumatoid arthritis assessed, poor prognosis documented (RA)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3475F","description":"Disease prognosis for rheumatoid arthritis assessed, poor prognosis documented (RA)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Needle electromyography; 3 extremities with or without related paraspinal areas","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95863","description":"Needle electromyography; 3 extremities with or without related paraspinal areas","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Supervision Of A Patient Under Care Of A Home Health Agency","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0064","description":"Physician Supervision Of A Patient Under Care Of A Home Health Agency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esano AC, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4274","description":"Esano AC, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1832.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B Vaccine, Adolescent (2-Dose Schedule), Im Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90743","description":"Hepatitis B Vaccine, Adolescent (2-Dose Schedule), Im Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":75.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 1 mcg for intramuscular use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q3027","description":"Injection, interferon beta-1a, 1 mcg for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Tendon/Muscle, Flexor, Forearm &/Or Wrist; Secondary, W/Free Graft, Each Tendon/Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25265","description":"Repair, Tendon/Muscle, Flexor, Forearm &/Or Wrist; Secondary, W/Free Graft, Each Tendon/Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1137.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87592","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Neisseria Gonorrhoeae, Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFP2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-HEU TC-99M add-on/dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9969","description":"Non-HEU TC-99M add-on/dose","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD services monthly for patients 2-11 yr old, monitoring nutrition, growth & development and counseling parents, 1 visit by physician/month","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90956","description":"ESRD services monthly for patients 2-11 yr old, monitoring nutrition, growth & development and counseling parents, 1 visit by physician/month","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":475.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Puncture Aspiration, Abscess, Hematoma, Bulla/Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10160","description":"Puncture Aspiration, Abscess, Hematoma, Bulla/Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":195.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Wound - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CA31","description":"Early - Institutional, Wound - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroid Imaging (Including Vascular Flow, When Performed); With Single Or Multiple Uptake(s) Quantitative Measurement(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78014","description":"Thyroid Imaging (Including Vascular Flow, When Performed); With Single Or Multiple Uptake(s) Quantitative Measurement(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":337.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":374.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Cylinder Cast (Thigh To Ankle)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29365","description":"Application, Cylinder Cast (Thigh To Ankle)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carpectomy; One Bone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25210","description":"Carpectomy; One Bone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":739.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Duodenal Intubation And Aspiration, Diagnostic, Includes Image Guidance; Single Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43756","description":"Duodenal Intubation And Aspiration, Diagnostic, Includes Image Guidance; Single Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93242","description":"External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Complex - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2DA21","description":"Early - Institutional, Complex - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Twin zygosity, genomic targeted sequence analysis of chromosome 2, using circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0060U","description":"Twin zygosity, genomic targeted sequence analysis of chromosome 2, using circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":834.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Surgical Aftercare - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4GA31","description":"Late - Institutional, MMTA - Surgical Aftercare - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tc99m labeled rbc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9560","description":"Tc99m labeled rbc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antiretroviral therapy not prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9244","description":"Antiretroviral therapy not prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suprahyoid Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38700","description":"Suprahyoid Lymphadenectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1229.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hinge Extension/Flex Wrist/F","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3900","description":"Hinge Extension/Flex Wrist/F","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1567.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1274.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"CEBPA, gene analysis, full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81218","description":"CEBPA, gene analysis, full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":266.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":266.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CHLW","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application Of Multi-Layer Compression System; Thigh And Leg, Including Ankle And Foot, When Performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29582","description":"Application Of Multi-Layer Compression System; Thigh And Leg, Including Ankle And Foot, When Performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ct Scan, Pelvis; W/O Contrast, Then W/Contrast & Further Sections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72194","description":"Ct Scan, Pelvis; W/O Contrast, Then W/Contrast & Further Sections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":389.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":92.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinogen; Activity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85384","description":"Fibrinogen; Activity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, 1639G>A, c.173+1000C>T)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81355","description":"VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, 1639G>A, c.173+1000C>T)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":97.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Carotid Body Tumor; W/Excision, Carotid Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60605","description":"Excision, Carotid Body Tumor; W/Excision, Carotid Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2964.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (papillary TC), gene-exp profiling via trgtd hybrid capture-enrichment RNA seq of 82 content genes&10 hskpg genes, FNA/FFPE tissue, rprtd as one of three molec subtps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0362U","description":"Oncology (papillary TC), gene-exp profiling via trgtd hybrid capture-enrichment RNA seq of 82 content genes&10 hskpg genes, FNA/FFPE tissue, rprtd as one of three molec subtps","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3960.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted procedure, colon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45399","description":"Unlisted procedure, colon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20704","description":"Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":274.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 does schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90650","description":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 does schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":136.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Selective Cath Placemt, Subclavian Or Innominate Artery, Unilat, W Angiography Of The Ipsilateral Vertebral Circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36225","description":"Selective Cath Placemt, Subclavian Or Innominate Artery, Unilat, W Angiography Of The Ipsilateral Vertebral Circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2136.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hi energy neutron radiation treatmt delivery; single area w single port or parallel-opposed ports w no/simple blocking","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77422","description":"Hi energy neutron radiation treatmt delivery; single area w single port or parallel-opposed ports w no/simple blocking","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0179","description":"Physician re-certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Repair, & Presacral Drainage, Rectal Injury;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45562","description":"Exploration, Repair, & Presacral Drainage, Rectal Injury;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1724.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter occlusion/embolization for non-CNS head/neck (extracranial, brachiocephalic); includes imaging, roadmapping, guidance, percutaneous, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61624","description":"Transcatheter occlusion/embolization for non-CNS head/neck (extracranial, brachiocephalic); includes imaging, roadmapping, guidance, percutaneous, any method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1771.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tumor/Nodes/Histo Grade  documented","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3260F","description":"Tumor/Nodes/Histo Grade  documented","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shldr Disartic Myoelectronic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6965","description":"Shldr Disartic Myoelectronic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17217.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule; Toes, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28092","description":"Excision, Lesion, Tendon Sheath/Capsule; Toes, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":649.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tube Pericardiostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33015","description":"Tube Pericardiostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":785.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGM2","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Septoplasty or submucous resection, with or without cartilage scoring, contouring, or replacement with graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30520","description":"Septoplasty or submucous resection, with or without cartilage scoring, contouring, or replacement with graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":935.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":935.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Instillation(s), Via Chest Tube/Catheter, Agent for Fibrinolysis; Initial Day","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32561","description":"Instillation(s), Via Chest Tube/Catheter, Agent for Fibrinolysis; Initial Day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Removal, Vitreous/Discission, Ant Hyaloid Membran","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65810","description":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Removal, Vitreous/Discission, Ant Hyaloid Membran","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":699.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":699.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Primary, Torn Ligament &/Or Capsule, Knee; Cruciate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27407","description":"Repair, Primary, Torn Ligament &/Or Capsule, Knee; Cruciate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1179.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg); All Night Record","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95827","description":"Electroencephalogram (Eeg); All Night Record","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":994.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":994.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation Therapy Management, Complete, 1 To 2 Fractions Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77431","description":"Radiation Therapy Management, Complete, 1 To 2 Fractions Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemi-Wheelchair Detachable A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1086","description":"Hemi-Wheelchair Detachable A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1491.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":135.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1491.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional Status For Dementia Assessed And Results Reviewed (Dem)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1175F","description":"Functional Status For Dementia Assessed And Results Reviewed (Dem)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Visit, Fecal Impaction Management & Enema Administration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99511","description":"Home Visit, Fecal Impaction Management & Enema Administration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Bank Physician Services; Difficult Cross Match &/Or Eval, Interpretation & Written Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86077","description":"Blood Bank Physician Services; Difficult Cross Match &/Or Eval, Interpretation & Written Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Concentrator -  With Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1390","description":"Oxygen Concentrator -  With Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":85.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1660.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breath Test, C-14 Urea; Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78268","description":"Breath Test, C-14 Urea; Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":103.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric Intubation And Aspiration, Diagnostic; Single Specimen (Eg, Acid Analysis)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43754","description":"Gastric Intubation And Aspiration, Diagnostic; Single Specimen (Eg, Acid Analysis)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":184.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Albumin; Urine, Microalbumin, Semiquantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82044","description":"Albumin; Urine, Microalbumin, Semiquantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHL6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mra, Lower Extremity, W/Wo Contrast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73725","description":"Mra, Lower Extremity, W/Wo Contrast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":464.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":136.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":600.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0257U","description":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":783.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ana crown exp 1-3 per quad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4231","description":"Ana crown exp 1-3 per quad","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":332.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9730","description":"Patient refused to participate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFMS","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endovascular Temporary Occlusion, Head/Neck W/Vessel Catheterization, Balloon Positioning/Inflation, Neurological Monitoring, Supervision & Interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61623","description":"Endovascular Temporary Occlusion, Head/Neck W/Vessel Catheterization, Balloon Positioning/Inflation, Neurological Monitoring, Supervision & Interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":880.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":880.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient has documented immunity to hepatitis b and is receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8869","description":"Patient has documented immunity to hepatitis b and is receiving a first course of anti-tnf therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone marrow; biopsy,needle or trocar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38221","description":"Bone marrow; biopsy,needle or trocar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":252.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance and all associated radiological supercsion and interpretation;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47531","description":"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance and all associated radiological supercsion and interpretation;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":470.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years or Older","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36556","description":"Insertion of Non-Tunneled Centrally Inserted Central Venous Catheter; Age 5 Years or Older","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":351.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amnio-Maxx or Amnio-Maxx Lite, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4239","description":"Amnio-Maxx or Amnio-Maxx Lite, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2038.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cauterization, Cervix; Electro/Thermal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57510","description":"Cauterization, Cervix; Electro/Thermal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Cutaneous Vascular Proliferative Lesions; < 10 Sq Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17106","description":"Destruction, Cutaneous Vascular Proliferative Lesions; < 10 Sq Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":516.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"deep sedation/general anesthesia-first 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9222","description":"deep sedation/general anesthesia-first 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strabismus Surgery, Posterior Fixation Suture, W/Wo Muscle Recession","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67334","description":"Strabismus Surgery, Posterior Fixation Suture, W/Wo Muscle Recession","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":454.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy, other than for screening for peripheral arterial disease, image acquisition, interpretation, and report; first anatomic site","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy, other than for screening for peripheral arterial disease, image acquisition, interpretation, and report; first anatomic site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFMS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Cardiac - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1HB31","description":"Early - Community, MMTA - Cardiac - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9347","description":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHLS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oropharyngeal Suction Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4628","description":"Oropharyngeal Suction Cath","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":4.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96935","description":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition only, each additional lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - GI/GU - Medium, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4JB21","description":"Late - Institutional, MMTA - GI/GU - Medium, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Endocrine Proc, Dx Nuclear Medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78099","description":"Unlisted Endocrine Proc, Dx Nuclear Medicine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tc99m depreotide","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9536","description":"Tc99m depreotide","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1458.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who received cervical cytology or an HPV test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9806","description":"Patients who received cervical cytology or an HPV test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Service of clinical social worker in home health or hospice settings, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0155","description":"Service of clinical social worker in home health or hospice settings, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spirometry W/Graphic Record/Vital Capacity/Flow Rate W/Wo Maximal Voluntary Ventilation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94010","description":"Spirometry W/Graphic Record/Vital Capacity/Flow Rate W/Wo Maximal Voluntary Ventilation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":40.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ugi Endoscopy; w Transendoscopic Ultrasound-Guided Intramural or Transmural Fine Needle Aspiration/Biopsy(s), Esophagus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43238","description":"Ugi Endoscopy; w Transendoscopic Ultrasound-Guided Intramural or Transmural Fine Needle Aspiration/Biopsy(s), Esophagus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":363.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Capsule/Soft Tissue/Heterotopic Bone, Elbow, W/Contracture Release (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24149","description":"Radical Resection, Capsule/Soft Tissue/Heterotopic Bone, Elbow, W/Contracture Release (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1789.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown, 3/4 Porcelain/Ceramic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2783","description":"Crown, 3/4 Porcelain/Ceramic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":805.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 37","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 37","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Episode of back pain lasting longer than 12 wks","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1137F","description":"Episode of back pain lasting longer than 12 wks","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Pleura; Percutaneous Needle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32400","description":"Bx, Pleura; Percutaneous Needle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":227.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; with rotator cuff repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29827","description":"Arthroscopy, shoulder, surgical; with rotator cuff repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1609.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO sagittal rigid panel cus","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0636","description":"LSO sagittal rigid panel cus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1286.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1582.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transurethral Drainage, Prostatic Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52700","description":"Transurethral Drainage, Prostatic Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":676.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87273","description":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Herpes Simplex Virus Type 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Vestibuloplasty; Complex (W/Ridge Extension, Muscle Repositioning)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40845","description":"Vestibuloplasty; Complex (W/Ridge Extension, Muscle Repositioning)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2233.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trypsin; Feces, Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84488","description":"Trypsin; Feces, Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Wide W/ Foot Rest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1093","description":"Wheelchair Wide W/ Foot Rest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2381.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2381.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoral - Occlusal Film","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0240","description":"Intraoral - Occlusal Film","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Neck or Anterior Thorax, Subfascial (eg, Intramuscular); 5 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21554","description":"Excision, Tumor, Soft Tissue of Neck or Anterior Thorax, Subfascial (eg, Intramuscular); 5 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1116.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sphincteroplasty, Anal, Incontinence, Adult; Muscle Transplant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46760","description":"Sphincteroplasty, Anal, Incontinence, Adult; Muscle Transplant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1693.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Disposable Nebulizer Sml Vol","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7004","description":"Disposable Nebulizer Sml Vol","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the E&M of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced model episode of care; 10 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9983","description":"Remote in-home visit for the E&M of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced model episode of care; 10 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43810","description":"Gastroduodenostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1557.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant/abutment supported removable denture for edentulous arch – mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6111","description":"Implant/abutment supported removable denture for edentulous arch – mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1587.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHK2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology MG qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8953","description":"Oncology MG qual act perform","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, body cast adult, with or without head, fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4002","description":"Cast supplies, body cast adult, with or without head, fiberglass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":225.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Treatment, Ectopic Pregnancy; Tubal/Ovarian W/O Salpingectomy/Oophorectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59121","description":"Surgical Treatment, Ectopic Pregnancy; Tubal/Ovarian W/O Salpingectomy/Oophorectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1214.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHK1","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHLX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychotherapy, 45 Minutes With Patient And/Or Family Member When Performed With An Evaluation And Management Service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90836","description":"Psychotherapy, 45 Minutes With Patient And/Or Family Member When Performed With An Evaluation And Management Service","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":124.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGKW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50555","description":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":628.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31300","description":"Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1977.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1977.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Torsion Ank & Half Solid Sti","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2375","description":"Torsion Ank & Half Solid Sti","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":124.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42505","description":"Plastic Repair, Salivary Duct, Sialodochoplasty; Secondary/Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":846.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 18","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 18","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGLS","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not receiving annual screening for HCV infection (e.g., patient declined, other patient reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9385","description":"Documentation of patient reason(s) for not receiving annual screening for HCV infection (e.g., patient declined, other patient reasons)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper Gi Endoscopy; W/Bx, Single/Multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43239","description":"Upper Gi Endoscopy; W/Bx, Single/Multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":515.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":515.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meningocococcal Polysaccharide Vaccine serogroups A C Y W-135 quadrivalent, Subq Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90733","description":"Meningocococcal Polysaccharide Vaccine serogroups A C Y W-135 quadrivalent, Subq Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21193","description":"Reconstruction, Mandibular Rami, Horizontal, Vertical, \"C\"/\"L\" Osteotomy; W/O Bone Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1803.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1803.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive follow-up on or within 7 days after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9407","description":"Patient did not receive follow-up on or within 7 days after discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGNW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxiods, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine (DTap-IPV/Hib), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90698","description":"Diphtheria, tetanus toxiods, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine (DTap-IPV/Hib), for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":117.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adult size pull-on lg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4527","description":"Adult size pull-on lg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation, Major Artery; Chest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37616","description":"Ligation, Major Artery; Chest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1695.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other OP visit for the E&M of a new pt, req medically appropriate Hx and/or exam and low level decision making. Total time on the date of the encounter = 30 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amino Acids, 2-5 Amino Acids, Quantitative, Each Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82136","description":"Amino Acids, 2-5 Amino Acids, Quantitative, Each Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":21.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand Robin-Aids Little/Ring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6010","description":"Hand Robin-Aids Little/Ring","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1878.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2310.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clotting; Factor Ii, Prothrombin, Specific","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85210","description":"Clotting; Factor Ii, Prothrombin, Specific","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Rubeola","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86765","description":"Antibody; Rubeola","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Great Toe; Metatarsophalangeal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28750","description":"Arthrodesis, Great Toe; Metatarsophalangeal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1239.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No ABI measurement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8515","description":"No ABI measurement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Marsupialization, Sublingual Salivary Cyst (Ranula)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42409","description":"Marsupialization, Sublingual Salivary Cyst (Ranula)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":507.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 33","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 33","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Treponema Pallidum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87285","description":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Treponema Pallidum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Vagotomy W/Pyloroplasty, W/Wo Gastrostomy; Truncal/Selective","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43640","description":"Vagotomy W/Pyloroplasty, W/Wo Gastrostomy; Truncal/Selective","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1809.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AFKS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30905","description":"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anti-inflammatory/analgesic agent prescribed [use for prescribed or continued medication(s), includng otc medication(s)]","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4016F","description":"Anti-inflammatory/analgesic agent prescribed [use for prescribed or continued medication(s), includng otc medication(s)]","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Phalangeal Shaft Fx, Proximal/Middle Phalanx, Finger/Thumb; W/O Manipulation, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26720","description":"Closed Treatment, Phalangeal Shaft Fx, Proximal/Middle Phalanx, Finger/Thumb; W/O Manipulation, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":297.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not performing urine protein test (e.g. patients who have a terminal illness & the standard treatment goals is not clinically appropriate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8772","description":"Documentation of medical reason for not performing urine protein test (e.g. patients who have a terminal illness & the standard treatment goals is not clinically appropriate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28292","description":"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1143.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sedative hypnotics (non-benzodiazepines)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80368","description":"Sedative hypnotics (non-benzodiazepines)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"monitored anesthesia care (MAC)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9654","description":"monitored anesthesia care (MAC)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Endocrine - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1IC21","description":"Early - Community, MMTA - Endocrine - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endo Ak Ultra-Light Material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5950","description":"Endo Ak Ultra-Light Material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1050.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":854.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Reline Complete Mandibular Denture (Chairside)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5731","description":"Reline Complete Mandibular Denture (Chairside)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":313.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2106","description":"Patients 66 years of age and older with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colonoscopy Through Stoma; W/Removal, Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44390","description":"Colonoscopy Through Stoma; W/Removal, Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":564.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGP1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Excision, Pericardial Cyst, Tumor/Mass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32661","description":"Thoracoscopy, Surgical; W/Excision, Pericardial Cyst, Tumor/Mass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1225.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"hepatitis Be antigen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87350","description":"hepatitis Be antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CD4+ cell count or CD4+ cell percentage results documented","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9214","description":"CD4+ cell count or CD4+ cell percentage results documented","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Severing Adhesions, Anterior Segment, Eye, Incisional (Sep Proc); Corneovitreal Adhesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65880","description":"Severing Adhesions, Anterior Segment, Eye, Incisional (Sep Proc); Corneovitreal Adhesions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":996.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0581T","description":"Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1973.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92652","description":"Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":204.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein, Total, Except By Refractometry; Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84156","description":"Protein, Total, Except By Refractometry; Urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extraoral Incision & Drainage, Abscess/Cyst/Hematoma, Mouth Floor; Submental","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41016","description":"Extraoral Incision & Drainage, Abscess/Cyst/Hematoma, Mouth Floor; Submental","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":679.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shrinker Above Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8460","description":"Shrinker Above Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":102.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinolytic Factors & Inhibitors; Plasmin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85400","description":"Fibrinolytic Factors & Inhibitors; Plasmin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27369","description":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":315.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"consultation with a medical health care professional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9311","description":"consultation with a medical health care professional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2109","description":"Patients 66 years of age and older with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prolonged home/residence care, each extra 15 minutes by a physician or qualified professional, billed with CPT 99345 or 99350; not for partial time units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0318","description":"Prolonged home/residence care, each extra 15 minutes by a physician or qualified professional, billed with CPT 99345 or 99350; not for partial time units","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHKV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Imaging Initial Diagnosis Cervical","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0330","description":"Pet Imaging Initial Diagnosis Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, screening, amplified probe technique","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0567","description":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, screening, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58552","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus 250gms/<; W/Removal, Tube(S) &/Or Ovary(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1489.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HD trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0912","description":"HD trapeze bar free standing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1734.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":97.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1734.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Adenoidectomy, Secondary; < Age 12","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42835","description":"Adenoidectomy, Secondary; < Age 12","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":277.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Counseling, group, by chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9003","description":"Counseling, group, by chaplain services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Complex, Scalp/Arms/Legs; Add'l 5.0 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"13122","description":"Repair, Complex, Scalp/Arms/Legs; Add'l 5.0 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":200.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, 1 Segment; Extradural, Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63300","description":"Vertebral Corpectomy, 1 Segment; Extradural, Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2840.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Spine, Cervical; 4+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72050","description":"Radiologic Exam, Spine, Cervical; 4+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":23.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61312","description":"Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3235.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TDM, medications specific to pain, depression, & anxiety/LC-MS/MS/plasma/110+ drugs/subst, qual & qn ther min eff range of RX, non-RX, & illicit medications in circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0519U","description":"TDM, medications specific to pain, depression, & anxiety/LC-MS/MS/plasma/110+ drugs/subst, qual & qn ther min eff range of RX, non-RX, & illicit medications in circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counse","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9458","description":"Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counse","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease, DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0152U","description":"Infectious disease, DNA, PCR and next-generation sequencing, plasma, detection of >1,000 potential microbial organisms for significant positive pathogens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2338.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional Svc, Allergen Immunotherapy Non-Provision Extracts; Single Injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","description":"Professional Svc, Allergen Immunotherapy Non-Provision Extracts; Single Injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient care survey was not completed by patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0917","description":"Patient care survey was not completed by patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGL2","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Variable Concentration Mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4620","description":"Variable Concentration Mask","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Subq Placement Cranial Neurostimulator Pulse Generator/Receiver; W/Connection Sngle Electrod Array","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61885","description":"Subq Placement Cranial Neurostimulator Pulse Generator/Receiver; W/Connection Sngle Electrod Array","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":794.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Selective Catheter Placement, Ext Carotid Artery, Unilat, W Angiography Of The Ipsilateral External Carotid Circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36227","description":"Selective Catheter Placement, Ext Carotid Artery, Unilat, W Angiography Of The Ipsilateral External Carotid Circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":381.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 vhd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0863","description":"PWC gp3 vhd mult pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10238.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":10238.8,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1773.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Temporomandibular Dislocation; Complicated, Initial/Subsequent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21485","description":"Closed Treatment, Temporomandibular Dislocation; Complicated, Initial/Subsequent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1064.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Autologous PRP or other blood-derived prod for diabetic chronic wounds/ulcers, using FDA-cleared dvc, (incl: admin, dressings, phlebotomy, centrifugation, prep proc, per tmt)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0465","description":"Autologous PRP or other blood-derived prod for diabetic chronic wounds/ulcers, using FDA-cleared dvc, (incl: admin, dressings, phlebotomy, centrifugation, prep proc, per tmt)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":120.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tract Frame Attach Footboard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0870","description":"Tract Frame Attach Footboard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":15.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Decompression Fasciotomy, Leg; Posterior Compartment(S) Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27601","description":"Decompression Fasciotomy, Leg; Posterior Compartment(S) Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":680.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9223","description":"Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15%","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Malignant Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.6 To 1.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17281","description":"Destruction, Malignant Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.6 To 1.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two liters per day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9366","description":"Home infusion therapy, total parenteral nutrition (TPN); more than one liter but no more than two liters per day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":200.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanoplasty W/O Mastoidectomy Initial/Revision; W/Ossicle Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69632","description":"Tympanoplasty W/O Mastoidectomy Initial/Revision; W/Ossicle Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1632.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoe Heel Pad Removable For","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3485","description":"Shoe Heel Pad Removable For","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Thiethylperazine Maleate10mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0174","description":"Thiethylperazine Maleate10mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Transvenous Extraction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33244","description":"Removal, Single/Dual Chamber Pacing Cardioverter-Defibrillator Electrode(S); Transvenous Extraction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1322.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"I intend to report the dementia measures group","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8902","description":"I intend to report the dementia measures group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33956","description":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1286.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfusion, Blood/Blood Components","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36430","description":"Transfusion, Blood/Blood Components","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High risk of recurrence, prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3273F","description":"High risk of recurrence, prostate cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AGK5","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibiotic Neither  Prescribed Nor Dispensed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4124F","description":"Antibiotic Neither  Prescribed Nor Dispensed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0227U","description":"Drug assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Spec Size W/ Leg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1224","description":"Wheelchair Spec Size W/ Leg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1748.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1748.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":94.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Pancreas, Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"48100","description":"Bx, Pancreas, Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1365.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sperm Isolation; Simple Prep, For Insemination/Diagnosis W/Semen Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89260","description":"Sperm Isolation; Simple Prep, For Insemination/Diagnosis W/Semen Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterotomy; W/Removal Fb/Calculus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50980","description":"Ureteral Endoscopy Through Ureterotomy; W/Removal Fb/Calculus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":546.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, Transthoracic; Thoracic, 1 Segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63085","description":"Vertebral Corpectomy, Transthoracic; Thoracic, 1 Segment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2957.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminotomy W/Partial Facetectomy/Foraminotomy/Herniated Diskectomy; 1 Interspace, Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63020","description":"Laminotomy W/Partial Facetectomy/Foraminotomy/Herniated Diskectomy; 1 Interspace, Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1791.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Metacarpal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26250","description":"Radical Resection, Metacarpal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1643.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Otoplasty, Protruding Ear, W/Wo Size Reduction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69300","description":"Otoplasty, Protruding Ear, W/Wo Size Reduction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":894.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Combined Anteroposterior Colporrhaphy; W/Enterocele Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57265","description":"Combined Anteroposterior Colporrhaphy; W/Enterocele Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1374.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neuromuscular Stim For Scoli","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0744","description":"Neuromuscular Stim For Scoli","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1973.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":124.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1973.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Fixed patient lift system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0640","description":"Fixed patient lift system","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2403.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2403.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":152.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64489","description":"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":268.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, W/O insertion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0616T","description":"Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, W/O insertion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":355.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurology (Alzheimer disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0289U","description":"Neurology (Alzheimer disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm reported as predictive risk score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":836.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Xcm biologic tissue matrix, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4142","description":"Xcm biologic tissue matrix, per square centimeter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27087","description":"Removal, Fb, Pelvis/Hip; Deep (Subfascial/Im)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":940.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Control Nasal Hemorrhage, Posterior, W/Post Nasal Packs &/Or Cautery; Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30905","description":"Control Nasal Hemorrhage, Posterior, W/Post Nasal Packs &/Or Cautery; Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":407.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11046","description":"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow. Each addtl intracardiac shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33746","description":"Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow. Each addtl intracardiac shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 20","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 20","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFNT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphc Trifocal 4.25-7/2.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2308","description":"Lens Sphc Trifocal 4.25-7/2.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote therapeutic monitoring for musculoskeletal system; device supply for data access/transmissions, each 30 days","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98977","description":"Remote therapeutic monitoring for musculoskeletal system; device supply for data access/transmissions, each 30 days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chromium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82495","description":"Chromium","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Colpotomy; W/Exploration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57000","description":"Colpotomy; W/Exploration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Newborn Resuscitation;care for High Risk","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99152","description":"Newborn Resuscitation;care for High Risk","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":76.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9291","description":"Specimen site other than anatomic location of lung, is not classified as non small cell lung cancer or classified as nsclc-nos","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0864T","description":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":557.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc. of system reason(s) not prescribing warfarin or FDA-approved anticoagulation due to patient being currently enrolled clinical trial related to AF/atrial flutter treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9927","description":"Doc. of system reason(s) not prescribing warfarin or FDA-approved anticoagulation due to patient being currently enrolled clinical trial related to AF/atrial flutter treatment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Proximal Tibiofibular Joint Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27831","description":"Closed Treatment, Proximal Tibiofibular Joint Dislocation; Requiring Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":573.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9207","description":"Hepatitis c genotype testing documented as performed within 12 months prior to initiation of antiviral treatment for hepatitis c","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0307","description":"Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Interstitial Radioactive Colloid Therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"79300","description":"Interstitial Radioactive Colloid Therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":197.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Incision, Conjunctiva, Drainage, Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68020","description":"Incision, Conjunctiva, Drainage, Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Cardiac - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3HC11","description":"Late - Community, MMTA - Cardiac - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stool Collection Pouch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4330","description":"Stool Collection Pouch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nondisposable Nebulizer Set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7005","description":"Nondisposable Nebulizer Set","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81238","description":"F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":660.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Psoriasis assessment tool documented not meeting any one of the specified benchmarks or psoriasis assessment tool not documented","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9651","description":"Psoriasis assessment tool documented not meeting any one of the specified benchmarks or psoriasis assessment tool not documented","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper GI endoscopy; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43239","description":"Upper GI endoscopy; with biopsy, single or multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":515.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":515.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision And Drainage Of Abscess - Intraoral Soft Tissue","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7510","description":"Incision And Drainage Of Abscess - Intraoral Soft Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":151.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic insertion or replacement of bronchial valve(s), multiple lobes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33.73","description":"Endoscopic insertion or replacement of bronchial valve(s), multiple lobes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Ankle;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27700","description":"Arthroplasty, Ankle;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":927.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"POV group 1 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0801","description":"POV group 1 hd 301-450 lbs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1853.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":185.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1853.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Layer Closure, Wounds, Neck, Hands, Feet &/Or Ext Genitalia; 12.6 To 20.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"12045","description":"Layer Closure, Wounds, Neck, Hands, Feet &/Or Ext Genitalia; 12.6 To 20.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":602.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Neuro - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BA31","description":"Late - Community, Neuro - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hkafo Torsion Cable Hip Pelv","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2050","description":"Hkafo Torsion Cable Hip Pelv","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":531.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":432.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Death occurring 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9816","description":"Death occurring 30 days post procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mri, Thoracic Spine; W/O Contrast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72146","description":"Mri, Thoracic Spine; W/O Contrast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":112.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":224.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote therapeutic monitoring of musculoskeletal system; device supply for data access/transmission, 16–30 days in a 30-day period","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98977","description":"Remote therapeutic monitoring of musculoskeletal system; device supply for data access/transmission, 16–30 days in a 30-day period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":80.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27236","description":"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1827.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pericardiocentesis; Subsequent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33011","description":"Pericardiocentesis; Subsequent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"1 or more neuropsych","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8947","description":"1 or more neuropsych","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hhcp-Svs Of Csw,Ea 15 Min","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0155","description":"Hhcp-Svs Of Csw,Ea 15 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Eval For Rx Non-Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face W Pt; Ea Addl 30 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92618","description":"Eval For Rx Non-Speech-Generating Augmentative And Alternative Communication Device, Face-To-Face W Pt; Ea Addl 30 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":50.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"services performed by dietary counselor in the hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9474","description":"services performed by dietary counselor in the hospice setting, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniofacial Approach To Ant Cranial Fossa; Intradural W/Craniotomy, Elevation/Resection Front Lobe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61583","description":"Craniofacial Approach To Ant Cranial Fossa; Intradural W/Craniotomy, Elevation/Resection Front Lobe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4473.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGMW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 50","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multi den insert direct form","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5512","description":"Multi den insert direct form","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":28.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Patient received follow-up within 7 days from discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9405","description":"Patient received follow-up within 7 days from discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assay Of Amikacin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80150","description":"Assay Of Amikacin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Soft protect helmet prefab","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8000","description":"Soft protect helmet prefab","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":209.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":209.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":20.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGL4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sinusoidal Vertical Axis Rotational Testing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92546","description":"Sinusoidal Vertical Axis Rotational Testing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":131.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Critical Care, Evaluation & Management","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99291","description":"Critical Care, Evaluation & Management","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":410.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":410.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Negative screen for depressive symptoms as categorized by using a standardized depression screening/assessment tool (MDD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3351F","description":"Negative screen for depressive symptoms as categorized by using a standardized depression screening/assessment tool (MDD","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venography, Caval, Inferior, W/Serialography, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75825","description":"Venography, Caval, Inferior, W/Serialography, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":118.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":202.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":84.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Imaging, Full And Partial-Ring Pet Scanners Only, For Initial Diag","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0252","description":"Pet Imaging, Full And Partial-Ring Pet Scanners Only, For Initial Diag","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":112.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous access&close femoral artery delivery endograft through large sheath (12 French or larger)include US guidance, w/perform unilat(List sep in add code prim proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34713","description":"Percutaneous access&close femoral artery delivery endograft through large sheath (12 French or larger)include US guidance, w/perform unilat(List sep in add code prim proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":216.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Carpometacarpal Dislocation, Non-Thumb W/Manipulation, Each Joint; W/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26675","description":"Closed Treatment, Carpometacarpal Dislocation, Non-Thumb W/Manipulation, Each Joint; W/Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":680.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mra, Pelvis, W/Wo Contrast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72198","description":"Mra, Pelvis, W/Wo Contrast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":600.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":465.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":135.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Excision or Destruction, Open, Intra-Abd Tumors, Cysts or Endometriomas, 1 or more Tumors; Largest Tumor 5cm or Less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49203","description":"Excision or Destruction, Open, Intra-Abd Tumors, Cysts or Endometriomas, 1 or more Tumors; Largest Tumor 5cm or Less","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1838.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Small Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Conversion Tube","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44373","description":"Small Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Conversion Tube","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Ankle Dislocation W/Wo Perc Skeletal Fix; W/Repair/Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27848","description":"Open Treatment, Ankle Dislocation W/Wo Perc Skeletal Fix; W/Repair/Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1228.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression glove, custom, medium weight, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6579","description":"Gradient compression glove, custom, medium weight, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":296.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44970","description":"Laparoscopy, Surgical; Appendectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":921.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza b vaccine, tetanus toxoid conjugate (Hib-MenC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90644","description":"Meningococcal conjugate vaccine, serogroups C & Y and Hemophilus influenza b vaccine, tetanus toxoid conjugate (Hib-MenC","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma stage I","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9127","description":"Onc dx multi myeloma stage I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hosp Bed Total Electr W/ Mat - With Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0265","description":"Hosp Bed Total Electr W/ Mat - With Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":179.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3369.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Salpingectomy, Complete/Partial, Unilat/Bilat (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58700","description":"Salpingectomy, Complete/Partial, Unilat/Bilat (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1177.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis; Pantalar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28705","description":"Arthrodesis; Pantalar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1903.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6527","description":"Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1204.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of breast implant on same day of mastectomy (ie, immediate)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19340","description":"Insertion of breast implant on same day of mastectomy (ie, immediate)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1530.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66179","description":"Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1618.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diskography, Lumbar, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72295","description":"Diskography, Lumbar, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":81.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":146.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by physician or qualified health care professional; each additional 15 minutes intraservice time (List separately)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99157","description":"Moderate sedation services provided by physician or qualified health care professional; each additional 15 minutes intraservice time (List separately)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27238","description":"Closed Treatment, Inter/Per/Subtrochanteric Femoral Fx; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":699.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43196","description":"Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glucose-6-Phosphate Dehydrogenase (G6pd); Screen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82960","description":"Glucose-6-Phosphate Dehydrogenase (G6pd); Screen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Distal Ulna Partial/Complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25240","description":"Excision Distal Ulna Partial/Complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":649.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3912","description":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":110.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":136.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dermal autograft, f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area of infants and children","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15136","description":"Dermal autograft, f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area of infants and children","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, when administered to individuals 3 years of age and older, for intramuscular","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90658","description":"Influenza virus vaccine, trivalent (IIV3), split virus, when administered to individuals 3 years of age and older, for intramuscular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFKX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 58","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 58","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81212","description":"BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":484.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychiatric Diagnostic Evaluation With Medical Services","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90792","description":"Psychiatric Diagnostic Evaluation With Medical Services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":218.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nebulizer With Compression - With Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0570","description":"Nebulizer With Compression - With Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Complex - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3DC31","description":"Late - Community, Complex - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0608T","description":"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":892.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), Diag/Therapeutic Agent, Paravertebral Facet Joint/Nerves, W Image Guid, Cerv/Thorac; Third and Addl Levels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64492","description":"Injection(s), Diag/Therapeutic Agent, Paravertebral Facet Joint/Nerves, W Image Guid, Cerv/Thorac; Third and Addl Levels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Fragmentation, Ureteral Calculus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52325","description":"Cystourethroscopy; W/Fragmentation, Ureteral Calculus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":492.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clostridium difficile toxin(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87324","description":"Clostridium difficile toxin(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96413","description":"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":206.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AHI, RDI, or REI not documented or measured within 2 months of initial evaluation for suspected obstructive sleep apnea, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8844","description":"AHI, RDI, or REI not documented or measured within 2 months of initial evaluation for suspected obstructive sleep apnea, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystotomy; Excision, Bladder Tumor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51530","description":"Cystotomy; Excision, Bladder Tumor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1220.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54111","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft To 5 Cm In Length","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1235.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy), Abdomen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15847","description":"Excision, Excessive Skin and Subcutaneous Tissue (Includes Lipectomy), Abdomen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":417.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29868","description":"Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2518.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc For Sacroiliac Joint, Arthrography &/Or Anesthetic/Steroid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27096","description":"Injection Proc For Sacroiliac Joint, Arthrography &/Or Anesthetic/Steroid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHKW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Trans-Scaphoperilunar Type Fx Dislocation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25685","description":"Open Treatment, Trans-Scaphoperilunar Type Fx Dislocation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1115.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86318","description":"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single step method (eg, reagent strip);","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0214T","description":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, rigid or flexible, w/wo fluoroscopic guidance; w/transbronchial needle aspiration biopsy(s), each additional lobe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31633","description":"Bronchoscopy, rigid or flexible, w/wo fluoroscopic guidance; w/transbronchial needle aspiration biopsy(s), each additional lobe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0173U","description":"Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":512.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt info into recall sys w/ target date for nxt xm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"7010F","description":"Pt info into recall sys w/ target date for nxt xm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34203","description":"Embolectomy/Thrombectomy; Popliteal-Tibio-Peroneal Artery, Leg Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1481.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Obstetrics (preeclampsia), sFlt1 & PIGF, serum, ratio reported for sFlt-1/PlGF, w/ risk of progression for preeclampsia w/ severe features within 2 wks","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0482U","description":"Obstetrics (preeclampsia), sFlt1 & PIGF, serum, ratio reported for sFlt-1/PlGF, w/ risk of progression for preeclampsia w/ severe features within 2 wks","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":141.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient received follow up within 7 days after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9405","description":"Patient received follow up within 7 days after discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Recurrent Incisional/Ventral Hernia; Incarcerated/Strangulated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49566","description":"Repair, Recurrent Incisional/Ventral Hernia; Incarcerated/Strangulated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1438.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prep Ak Ischial Open End","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5585","description":"Prep Ak Ischial Open End","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2750.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3383.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all site of each muscle studied","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95872","description":"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all site of each muscle studied","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":232.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":232.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":295.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":295.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound, Preg Uterus, 1st Trimester Fetal Nuchal Translucency Measurement, Transabd/Transvag; Sgl/1st Gestation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76813","description":"Ultrasound, Preg Uterus, 1st Trimester Fetal Nuchal Translucency Measurement, Transabd/Transvag; Sgl/1st Gestation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":184.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":92.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":92.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Resection, Lip, > One-Fourth, W/O Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40530","description":"Resection, Lip, > One-Fourth, W/O Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":816.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Femoral-Ant Tibial/Post Tibial/Peroneal Artery/Other Distal Vessels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35566","description":"Bypass Graft, W/Vein; Femoral-Ant Tibial/Post Tibial/Peroneal Artery/Other Distal Vessels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2599.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pressure Pneum Appl Full Arm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0672","description":"Pressure Pneum Appl Full Arm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":440.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":440.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Non-Emergency Transportation; Patient Attendant/Escort","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T2001","description":"Non-Emergency Transportation; Patient Attendant/Escort","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"repair broken complete denture base, mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5511","description":"repair broken complete denture base, mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oral cushion for combination oral/nasal mask, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7028","description":"Oral cushion for combination oral/nasal mask, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":40.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mesentery (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44820","description":"Excision, Lesion, Mesentery (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1283.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92145","description":"Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, partial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29820","description":"Arthroscopy, shoulder, surgical; synovectomy, partial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":813.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGM3","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monthly chronic pain management bundle including diagnosis, care planning, treatment, counseling, and coordination; requires 30-minute initial face-to-face visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G3002","description":"Monthly chronic pain management bundle including diagnosis, care planning, treatment, counseling, and coordination; requires 30-minute initial face-to-face visit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":155.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83690","description":"Lipase","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0413T","description":"Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":765.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95115","description":"Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg3/4 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9115","description":"Onc dx ovarian stg3/4 noprog","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction, posterior tibial nerve, 4 or more parameters","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0590T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system for bladder dysfunction, posterior tibial nerve, 4 or more parameters","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":104.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Autoimmune (PsO), mRNA, NGS, gene exp profiling of 50-100 genes, skin-surface coll using adhesive patch, algorithm reported as likelihood of resp to PsO biologics","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0258U","description":"Autoimmune (PsO), mRNA, NGS, gene exp profiling of 50-100 genes, skin-surface coll using adhesive patch, algorithm reported as likelihood of resp to PsO biologics","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4042.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoplasty; Graft Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31770","description":"Bronchoplasty; Graft Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2047.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound, Retroperitoneum, B-Scan/Real Time; Limited","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76775","description":"Ultrasound, Retroperitoneum, B-Scan/Real Time; Limited","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":43.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Tumor, Temporal Bone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69970","description":"Removal, Tumor, Temporal Bone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3254.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not receiving screening for HCV infection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9385","description":"Documentation of patient reason(s) for not receiving screening for HCV infection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Cannula, Hemodialysis (Sep Proc); Av, Ext","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36810","description":"Insertion, Cannula, Hemodialysis (Sep Proc); Av, Ext","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81168","description":"CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":228.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Excessive Skin & Subq Tissue (W/Lipectomy); Thigh","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15832","description":"Excision, Excessive Skin & Subq Tissue (W/Lipectomy); Thigh","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1392.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9393","description":"Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHN4","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin Test; Coccidioidomycosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86490","description":"Skin Test; Coccidioidomycosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":153.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Neg Microalbuminuria Rev","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3061F","description":"Neg Microalbuminuria Rev","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medication Therapy Management Service(s) Provided by a Pharmacist, Individual; Initial 15 Minutes, New Patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99605","description":"Medication Therapy Management Service(s) Provided by a Pharmacist, Individual; Initial 15 Minutes, New Patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Replace Foot Drop Spint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4394","description":"Replace Foot Drop Spint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Anoscopy; W/Removal, Multiple Lesions, Hot Forceps/Cautery/Snare","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46612","description":"Anoscopy; W/Removal, Multiple Lesions, Hot Forceps/Cautery/Snare","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28106","description":"Excisn/Curet, Bone Cyst/Benign Tumor, Tarsal/Metatarsal, Not Talus/Calcaneus; W/Iliac/Autograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":654.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Pressure, Measured1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2000F","description":"Blood Pressure, Measured1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Bone, Scapula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23182","description":"Partial Excision, Bone, Scapula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1000.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66183","description":"Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1546.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Below knee sus/seal sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5685","description":"Below knee sus/seal sleeve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":119.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Behavioral Health - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4FB11","description":"Late - Institutional, Behavioral Health - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Administration Of Oral, Intramuscular And/Or Subcut Medication By Heal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1502","description":"Administration Of Oral, Intramuscular And/Or Subcut Medication By Heal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":11.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"}]}]},{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with endoscopic mucosal resection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44403","description":"Colonoscopy through stoma; with endoscopic mucosal resection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":472.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Lecanemab-irmb, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0174","description":"Injection, Lecanemab-irmb, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Leucine Aminopeptidase (Lap)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83670","description":"Leucine Aminopeptidase (Lap)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":10.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intro of needle and/or catheter, dialysis circuit, with diagnostic angiography of dialysis circuit; with transluminal balloon angioplasty, peripheral dialysis segment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36902","description":"Intro of needle and/or catheter, dialysis circuit, with diagnostic angiography of dialysis circuit; with transluminal balloon angioplasty, peripheral dialysis segment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1823.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient satisfaction survey was not completed by patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0917","description":"Patient satisfaction survey was not completed by patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, (Thrombin) Percutaneous Treatment Extremity Pseudoaneurysm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36002","description":"Injection, (Thrombin) Percutaneous Treatment Extremity Pseudoaneurysm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transurethral Destruction, Prostate Tissue; Radiofrequency Thermotherapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53852","description":"Transurethral Destruction, Prostate Tissue; Radiofrequency Thermotherapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2882.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHM2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) including frontal sinus exploration with removal of tissue from frontal sinus when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31253","description":"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) including frontal sinus exploration with removal of tissue from frontal sinus when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":924.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of permanent cardiac contractility modulation system; pulse generator only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0412T","description":"Removal of permanent cardiac contractility modulation system; pulse generator only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":242.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Complex - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3DB11","description":"Late - Community, Complex - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary prostate cancer–related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0133U","description":"Hereditary prostate cancer–related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 24","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 24","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGLS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11044","description":"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":473.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Ribs, Bilat; 3 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71110","description":"Radiologic Exam, Ribs, Bilat; 3 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Program device eval(in person)w/iterative adj implant test funct device&select optimal perm program value w/analysis includ review&report,implant cardiac contract modulat syst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0417T","description":"Program device eval(in person)w/iterative adj implant test funct device&select optimal perm program value w/analysis includ review&report,implant cardiac contract modulat syst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":166.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm, genomic seq anal panel, cell-free nucleic acid, interrog for seq var; DNA anal/combined DNA & RNA anal, CNV, MSI, tumor mutation burden, & rearr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81464","description":"Solid organ neoplasm, genomic seq anal panel, cell-free nucleic acid, interrog for seq var; DNA anal/combined DNA & RNA anal, CNV, MSI, tumor mutation burden, & rearr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3617.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ext Cephalic Version, W/Wo Tocolysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59412","description":"Ext Cephalic Version, W/Wo Tocolysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Allergy Tests, Intradermal, Allergenic Extracts, Delayed Type, W/Reading Specify Number","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95028","description":"Allergy Tests, Intradermal, Allergenic Extracts, Delayed Type, W/Reading Specify Number","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/12-2d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2107","description":"Spherocylinder 4.25d/12-2d","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SAV for the E&M of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98004","description":"SAV for the E&M of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Testis, Needle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54500","description":"Bx, Testis, Needle (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":114.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50387","description":"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":737.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CHM4","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastic Repair, Urethrocele","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57230","description":"Plastic Repair, Urethrocele","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, In Zone 2 \"No Man's Land\"; Primary W/O Free Graft, Each Tend","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26356","description":"Flexor Tendon Repair/Advance, In Zone 2 \"No Man's Land\"; Primary W/O Free Graft, Each Tend","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15769","description":"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":891.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospice services for patient provided any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9718","description":"Hospice services for patient provided any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Narcosynthesis, Psychiatric Dx & Therapeutic Purposes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90865","description":"Narcosynthesis, Psychiatric Dx & Therapeutic Purposes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35045","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Radial/Ulnar Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1533.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health-related quality of life not assessed with tool for documented reason(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9635","description":"Health-related quality of life not assessed with tool for documented reason(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospice evaluation preelecti","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0337","description":"Hospice evaluation preelecti","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFKU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Melatonin levels test, sleep study, 7 or 9 sample melatonin profile (cortisol optional), enzyme-linked immunosorbent assay (ELISA), saliva, screening/preliminary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0462U","description":"Melatonin levels test, sleep study, 7 or 9 sample melatonin profile (cortisol optional), enzyme-linked immunosorbent assay (ELISA), saliva, screening/preliminary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) with integral anterior instrumentation for device anchoring, when performed, to vertebral corpectomy(ies) defect","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22854","description":"Insertion of intervertebral biomechanical device(s) with integral anterior instrumentation for device anchoring, when performed, to vertebral corpectomy(ies) defect","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":524.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Echocardiography, Transesophageal, Congenital Anomalies; W/Probe, Image, Intepretation & Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93315","description":"Echocardiography, Transesophageal, Congenital Anomalies; W/Probe, Image, Intepretation & Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":194.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":194.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":256.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":137.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Analysis of saliva sample","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0418","description":"Analysis of saliva sample","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral Sol Amino Acid &","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4189","description":"Parenteral Sol Amino Acid &","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":251.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fetal Congenital Abnormalities, Assays Of Five Analytes, Maternal Serum, algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81512","description":"Fetal Congenital Abnormalities, Assays Of Five Analytes, Maternal Serum, algorithm reported as a risk score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":76.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple Repair, Superficial Wounds, Scalp/Neck/Axillae/Genitalia/Trunk/Extremities; 20.1-30.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"12006","description":"Simple Repair, Superficial Wounds, Scalp/Neck/Axillae/Genitalia/Trunk/Extremities; 20.1-30.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":286.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colpopexy, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57280","description":"Colpopexy, Abdominal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1440.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23473","description":"Revision Of Total Shoulder Arthroplasty, Including Allograft When Performed; Humeral Or Glenoid Component","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2484.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinical symptoms of volume overload (excess) assessed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1004F","description":"Clinical symptoms of volume overload (excess) assessed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"IBMFS sequence analysis panel, must include sequencing of at least 30 genes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81441","description":"IBMFS sequence analysis panel, must include sequencing of at least 30 genes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2693.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza Virus Vaccine, Split, 3 Yrs+, Im/Jet Injection Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90658","description":"Influenza Virus Vaccine, Split, 3 Yrs+, Im/Jet Injection Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 12","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 12","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stereotactic body radiation therapy, tx delivery, per fraction to 1+ lesions, incl image guidance/real-time PET del adj to 1+ lesions, entire course not to exceed 5 fractions","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0563","description":"Stereotactic body radiation therapy, tx delivery, per fraction to 1+ lesions, incl image guidance/real-time PET del adj to 1+ lesions, entire course not to exceed 5 fractions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CHLX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology(breast cancer)ERBB2(HER2)copy #FISH tumor cells from formalin fixed paraffin embed tissue isolated img-based dielectrophoresis sort rpt ERBB2 gene ampli/non-amplified","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0009U","description":"Oncology(breast cancer)ERBB2(HER2)copy #FISH tumor cells from formalin fixed paraffin embed tissue isolated img-based dielectrophoresis sort rpt ERBB2 gene ampli/non-amplified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":117.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8659","description":"Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion/Replacement, Temporary Transvenous Single Chamber Cardiac Electrode/Pacemaker Catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33210","description":"Insertion/Replacement, Temporary Transvenous Single Chamber Cardiac Electrode/Pacemaker Catheter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":254.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 54","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 54","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI not documented due to medical reason or patient refusal of height or weight measurement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2181","description":"BMI not documented due to medical reason or patient refusal of height or weight measurement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92614","description":"Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46740","description":"Repair, High Imperf Anus W/Recto-Urethral/Vaginal Fistula; Perineal/Sacroperineal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3112.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGM5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foot examination performed (includes exam thru visual inspection, sensory exam with 10-g monofilament plus testing of: vibration using 128-Hz tuning fork, pinprick sensation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9226","description":"Foot examination performed (includes exam thru visual inspection, sensory exam with 10-g monofilament plus testing of: vibration using 128-Hz tuning fork, pinprick sensation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Fb, Intranasal; Requiring General Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30310","description":"Removal Fb, Intranasal; Requiring General Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":310.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":310.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86480","description":"Tuberculosis test, cell mediated immunity measurement of gamma interferon antigen response","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":68.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Epiphyseal Arrest, Epiphysiodesis/Stapling; Distal Radius & Ulna","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25455","description":"Epiphyseal Arrest, Epiphysiodesis/Stapling; Distal Radius & Ulna","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1103.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Spermatocele, W/Wo Epididymectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54840","description":"Excision, Spermatocele, W/Wo Epididymectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":491.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21030","description":"Excision, Benign Tumor/Cyst Maxilla/Zygoma, Enucleation And Curettage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":792.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Pelvis/Hip Joint Area; Infected Bursa","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26991","description":"Incision & Drainage, Pelvis/Hip Joint Area; Infected Bursa","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1069.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Follow Stress Echo Mult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0041","description":"Pet Follow Stress Echo Mult","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Small Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Control, Bleeding","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44366","description":"Small Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Control, Bleeding","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":374.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health & Behavior Intervention, Ea 15 Minutes; Individual","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96152","description":"Health & Behavior Intervention, Ea 15 Minutes; Individual","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 2 std port seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0820","description":"PWC gp 2 std port seat/back","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":328.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Immediate mandibular partial denture – resin base (inc retentive clasping mat, rests and teeth)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5222","description":"Immediate mandibular partial denture – resin base (inc retentive clasping mat, rests and teeth)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":924.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Metacarpal Fx, W/Manipulation, W/Ext Fixation, Each Bone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26607","description":"Closed Treatment, Metacarpal Fx, W/Manipulation, W/Ext Fixation, Each Bone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":689.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, W/Wo Patch Graft; Subclavian/Innominate, Thoracic Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35311","description":"Thromboendarterectomy, W/Wo Patch Graft; Subclavian/Innominate, Thoracic Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2411.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enteroenterostomy, Anastomosis, Intestine, W/Wo Cutaneous Enterostomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44130","description":"Enteroenterostomy, Anastomosis, Intestine, W/Wo Cutaneous Enterostomy (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2017.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"documentation of patient reason(s) for not referring to hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9525","description":"documentation of patient reason(s) for not referring to hospice care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHNX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Intradural, Extramedullary, Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63280","description":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Intradural, Extramedullary, Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3275.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 34","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 34","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Episodes where the patient had a competing diagnosis within three days after the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2097","description":"Episodes where the patient had a competing diagnosis within three days after the episode date","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Attention functional limitation, current status at therapy episode outset and at reporting intervals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9165","description":"Attention functional limitation, current status at therapy episode outset and at reporting intervals","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Xenograft skin (dermal), f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area infant/child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15421","description":"Xenograft skin (dermal), f/s/e/m/n/e/o/g/h/f/d; ea addl 100 sq cm, or ea addl 1% of body area infant/child","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9329","description":"Dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic examination, hand; minimum of 3 views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73130","description":"Radiologic examination, hand; minimum of 3 views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":32.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":32.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contraception counsel before antiviral tx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4159F","description":"Contraception counsel before antiviral tx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Restorigin, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4191","description":"Restorigin, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":730.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90625","description":"cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Cardiac - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4HB31","description":"Late - Institutional, MMTA - Cardiac - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Upper Gi Tract; W/Small Intestine, W/Multiple Serial Films","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74245","description":"Radiologic Exam, Upper Gi Tract; W/Small Intestine, W/Multiple Serial Films","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0730T","description":"Trabeculotomy by laser, including optical coherence tomography (OCT) guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":474.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1576","description":"Injection, immune globulin (Panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nonstop 12mon thxpy w/ PPI or H2 H2RA rcvd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4185F","description":"Nonstop 12mon thxpy w/ PPI or H2 H2RA rcvd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CHLT","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sterile water/saline, 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4217","description":"Sterile water/saline, 500 ml","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AU"},{"negotiated_type":"fee schedule","negotiated_rate":3.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Knee-Shin Exo Variable Frict","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5714","description":"Knee-Shin Exo Variable Frict","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":490.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":398.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77317","description":"Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":226.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":369.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient-months where there are more than one Medicare capitated payment (MCP) provider listed for the month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G1025","description":"Patient-months where there are more than one Medicare capitated payment (MCP) provider listed for the month","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"retainer crown - porcelain fused to titanium or titanium alloy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6784","description":"retainer crown - porcelain fused to titanium or titanium alloy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":524.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Femoral Supracondylar/Transcondylar Fx W/O Intercondylar Extension, W/Wo Int/Ext Fix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27511","description":"Open Treatment, Femoral Supracondylar/Transcondylar Fx W/O Intercondylar Extension, W/Wo Int/Ext Fix","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1523.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (prostate), mRNA exp profiling of HOXC6 and DLX1, RT-PCR, first-void urine following digital rectal Ex, algo prob of high-grade cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0339U","description":"Oncology (prostate), mRNA exp profiling of HOXC6 and DLX1, RT-PCR, first-void urine following digital rectal Ex, algo prob of high-grade cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":836.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjacent Tissue Transfer or Rearrangement, Any Area; Each Additional 30.0 Sq cm, or Part Thereof","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"14302","description":"Adjacent Tissue Transfer or Rearrangement, Any Area; Each Additional 30.0 Sq cm, or Part Thereof","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":339.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of CHA2DS2-VASc risk score of 0 or 1 for men; or 0, 1, or 2 for women","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9931","description":"Documentation of CHA2DS2-VASc risk score of 0 or 1 for men; or 0, 1, or 2 for women","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Set Up Port Xray Equipment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0092","description":"Set Up Port Xray Equipment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 22","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 22","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physical Performance Test, W/Written Report, Each 15 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97750","description":"Physical Performance Test, W/Written Report, Each 15 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, W/Wo Patch Graft; Carotid, Vertebral, Subclavian, Neck Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35301","description":"Thromboendarterectomy, W/Wo Patch Graft; Carotid, Vertebral, Subclavian, Neck Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1759.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydroxyprogesterone, 20-","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83499","description":"Hydroxyprogesterone, 20-","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy DNA seq comp ansys, fetal DNA from products of conception, reported as normal, monosomy, trisomy, or partial deletion/dupe, mosaicism, and segmental aneuploid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0341U","description":"Fetal aneuploidy DNA seq comp ansys, fetal DNA from products of conception, reported as normal, monosomy, trisomy, or partial deletion/dupe, mosaicism, and segmental aneuploid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2090.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":863.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal & Replacement, Multi-Component Inflatable Penile Prosthesis, Infected, W/ Irrig & Debride","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54411","description":"Removal & Replacement, Multi-Component Inflatable Penile Prosthesis, Infected, W/ Irrig & Debride","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1570.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFN6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and dis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93261","description":"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and dis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":89.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":31.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Initial Comprehensive Preventive Medicine E&M W/Hx/Exam, New Pt; 12-17 Yr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","description":"Initial Comprehensive Preventive Medicine E&M W/Hx/Exam, New Pt; 12-17 Yr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":201.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 36","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 36","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prostatectomy, Retropubic Radical, W/Wo Nerve Sparing; W/Limited Lymph Node Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55842","description":"Prostatectomy, Retropubic Radical, W/Wo Nerve Sparing; W/Limited Lymph Node Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1794.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, W/Resection, Ext Sphincter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52277","description":"Cystourethroscopy, W/Resection, Ext Sphincter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":496.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inlay-Porcelain/Ceramic, Two Surfaces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6600","description":"Inlay-Porcelain/Ceramic, Two Surfaces","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":602.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adult patients 18+ years with major depression or dysthymia who did not reach remission at 12 mo as demonstrated by a 12 mo (+/-60 days) PHQ-9 or PHQ-9M score of less than 5","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9510","description":"Adult patients 18+ years with major depression or dysthymia who did not reach remission at 12 mo as demonstrated by a 12 mo (+/-60 days) PHQ-9 or PHQ-9M score of less than 5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trapezius Sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1070","description":"Trapezius Sling","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":112.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":91.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CFKW","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 27","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 27","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Tunneled Centrally Inserted Central Venous Access Device with Subcutaneous Pump","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36563","description":"Insertion of Tunneled Centrally Inserted Central Venous Access Device with Subcutaneous Pump","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1852.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Posterior Vertebral Component, Intrinisic Bony Lesion Single Segment; Thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22101","description":"Partial Excision, Posterior Vertebral Component, Intrinisic Bony Lesion Single Segment; Thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1303.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contact Lens Pmma Spherical","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2500","description":"Contact Lens Pmma Spherical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2783","description":"Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision Including Replacement of Total Disc Arthroplasty (Artificial Disc), Anterior Approach, Single Interspace; Cerv","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22861","description":"Revision Including Replacement of Total Disc Arthroplasty (Artificial Disc), Anterior Approach, Single Interspace; Cerv","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3021.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fresh Frozen Plasma, Thawing, Each Unit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86927","description":"Fresh Frozen Plasma, Thawing, Each Unit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Jc (John Cunningham) Virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86711","description":"Antibody; Jc (John Cunningham) Virus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Foot Plastic Heel Stabilizer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3170","description":"Foot Plastic Heel Stabilizer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":47.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":58.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":58.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 57","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 57","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Etiology of Epilepsy or Epilepsy Syndrome(s) Reviewed and Documented","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1205F","description":"Etiology of Epilepsy or Epilepsy Syndrome(s) Reviewed and Documented","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vasography, Vesiculography/Epididymography, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74440","description":"Vasography, Vesiculography/Epididymography, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Endovasc Temp Occlusion, Head/Nck W/Vessel Cath, Balloon Positioning/Inflation, Neur Monit, S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61623","description":"Endovasc Temp Occlusion, Head/Nck W/Vessel Cath, Balloon Positioning/Inflation, Neur Monit, S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":880.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":880.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Balance Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2700","description":"Balance Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90756","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9745","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter occlusion/embolization for CNS (intracranial/spinal cord); includes imaging, roadmapping, guidance, percutaneous, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61624","description":"Transcatheter occlusion/embolization for CNS (intracranial/spinal cord); includes imaging, roadmapping, guidance, percutaneous, any method","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1771.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Nocardia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86744","description":"Antibody; Nocardia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Cardiac - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1HA21","description":"Early - Community, MMTA - Cardiac - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrical Stimulation (Unattended), To One Or More Areas For Indicati","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283","description":"Electrical Stimulation (Unattended), To One Or More Areas For Indicati","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Infected Graft; Neck","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35901","description":"Excision, Infected Graft; Neck","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":767.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dementia Severity Classified, Mild (Dem)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1490F","description":"Dementia Severity Classified, Mild (Dem)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stnd Wt Frame Power Whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0010","description":"Stnd Wt Frame Power Whlchr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":581.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":4724.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9178.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Benesch Boot Pair Junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3214","description":"Benesch Boot Pair Junior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22532","description":"Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2735.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Abdomen, Musculoskeletal System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22999","description":"Unlisted Proc, Abdomen, Musculoskeletal System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ferumoxytol, esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0139","description":"Ferumoxytol, esrd use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Echocardiography, Transthor, Rt W Image Doc, During Rest&Stress, W Interp&Report; Inc Ecg Monitoring & Phys Supervision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93351","description":"Echocardiography, Transthor, Rt W Image Doc, During Rest&Stress, W Interp&Report; Inc Ecg Monitoring & Phys Supervision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":277.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":405.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":128.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Cognitive impairment or dysfunction assessed (Prkns)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3720F","description":"Cognitive impairment or dysfunction assessed (Prkns)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGKS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open/percutaneous, iliac artery, unilat, init vessel; w/ transluminal stent placement(s), includes angioplasty within the same vessel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37221","description":"Revascularization, endovascular, open/percutaneous, iliac artery, unilat, init vessel; w/ transluminal stent placement(s), includes angioplasty within the same vessel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6818.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"EZ Derm, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4136","description":"EZ Derm, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Occlusal Adjustment - Complete","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9952","description":"Occlusal Adjustment - Complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":277.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; W/Fulguration/Excision, Lesions Of Ovary/Pelvic Viscera/Peritoneal Surface","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58662","description":"Laparoscopy, Surgical; W/Fulguration/Excision, Lesions Of Ovary/Pelvic Viscera/Peritoneal Surface","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1072.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CFLU","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Complicated Suture - Greater Than 5 Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7912","description":"Complicated Suture - Greater Than 5 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Compression Burn Garment, Foot To Thigh Length, Custom Fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6508","description":"Compression Burn Garment, Foot To Thigh Length, Custom Fabricated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Human Papiloma virus (HPV) vaccine, types 16, 18, bivalent, 3 does schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90650","description":"Human Papiloma virus (HPV) vaccine, types 16, 18, bivalent, 3 does schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":136.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Endoscopy Through Nephrotomy/Pyelotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50570","description":"Renal Endoscopy Through Nephrotomy/Pyelotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":757.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External Ocular Photography W/Interpretation & Report, Medical Progress","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92285","description":"External Ocular Photography W/Interpretation & Report, Medical Progress","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Direction, Emergency Medical Systems (Ems) Emergency Care, Advanced Life Support","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99288","description":"Physician Direction, Emergency Medical Systems (Ems) Emergency Care, Advanced Life Support","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Opponensplasty; Other Methods","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26496","description":"Opponensplasty; Other Methods","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1284.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Smear, Prime Srce, W/Interpr; Fluoresc &/Or Acid Fast Stain, Bacteria/Fungi/Parasit/Virus/Cell Type","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87206","description":"Smear, Prime Srce, W/Interpr; Fluoresc &/Or Acid Fast Stain, Bacteria/Fungi/Parasit/Virus/Cell Type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Digital breast tomosynthesis; bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77062","description":"Digital breast tomosynthesis; bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":203.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":293.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0861","description":"PWC gp3 std mult pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1002.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5785.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5785.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 14","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 14","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, trilaciclib, 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1448","description":"Injection, trilaciclib, 1mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHN3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myotomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7856","description":"Myotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2733.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Measurement, Post-Voiding Residual Urine &/Or Bladder Capacity, Us, Non-Imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51798","description":"Measurement, Post-Voiding Residual Urine &/Or Bladder Capacity, Us, Non-Imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AdvoGraft One, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4380","description":"AdvoGraft One, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myomectomy 1-4 Myoma(S), W/Total Weight 250 Gms/<; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58145","description":"Myomectomy 1-4 Myoma(S), W/Total Weight 250 Gms/<; Vaginal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":826.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunization Administration; Each Add'l Single/Combination Vaccine/Toxoid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","description":"Immunization Administration; Each Add'l Single/Combination Vaccine/Toxoid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9427","description":"Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Als 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0426","description":"Als 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Abdomen, Peritoneum & Omentum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49999","description":"Unlisted Proc, Abdomen, Peritoneum & Omentum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"radiologic exam, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed; 2 or 3 views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72082","description":"radiologic exam, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed; 2 or 3 views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":68.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Receiving Ace Inhibitor/Arb Therapy And Beta-Blocker Therapy For 3 Months Or Longer (Hf)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4480F","description":"Patient Receiving Ace Inhibitor/Arb Therapy And Beta-Blocker Therapy For 3 Months Or Longer (Hf)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prep Ak Ischial Thermo Mold","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5580","description":"Prep Ak Ischial Thermo Mold","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2481.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3052.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":287.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophageal Motility Study With Interpretation And Report; With Stimulation Or Perfusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91013","description":"Esophageal Motility Study With Interpretation And Report; With Stimulation Or Perfusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cd4+ cell count or percentage not documented as performed, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9215","description":"Cd4+ cell count or percentage not documented as performed, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office Visit - After Regularly Scheduled Hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9440","description":"Office Visit - After Regularly Scheduled Hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Haptoglobin; Phenotypes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83012","description":"Haptoglobin; Phenotypes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, buprenorphine extended-release (Brixadi), less than or equal to 7 days of therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0577","description":"Injection, buprenorphine extended-release (Brixadi), less than or equal to 7 days of therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":422.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31572","description":"Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":749.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hosp Bed Semi-Elect W/ Mattr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0294","description":"Hosp Bed Semi-Elect W/ Mattr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1248.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":74.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1278.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9767","description":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFK6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Epstein-Barr (Eb) Virus, Early Antigen (Ea)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86663","description":"Antibody; Epstein-Barr (Eb) Virus, Early Antigen (Ea)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34839","description":"Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer disorders, targeted mRNA sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0130U","description":"Hereditary colon cancer disorders, targeted mRNA sequence analysis panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":643.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":643.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 40","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 40","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGL5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chest Wrap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0459","description":"Chest Wrap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":713.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":71.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":713.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFL6","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, intermittent chemotherapy infusion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9331","description":"Home infusion therapy, intermittent chemotherapy infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"L heart catheterization for congenital heart defect including imaging guidance by  proceduralist to advance the catheter to  target zone, normal or abnormal native connections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93595","description":"L heart catheterization for congenital heart defect including imaging guidance by  proceduralist to advance the catheter to  target zone, normal or abnormal native connections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":490.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":490.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transoral Approach To Skull Base, Bx/Decompres/Excisn, Lesion; W/Splitting Tongue &/Or Mandbl","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61576","description":"Transoral Approach To Skull Base, Bx/Decompres/Excisn, Lesion; W/Splitting Tongue &/Or Mandbl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5228.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5228.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81364","description":"HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":357.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":357.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Large Size Footplate Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0041","description":"Large Size Footplate Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":58.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":58.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9894","description":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Therapeutic Procedure (Specify)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97139","description":"Unlisted Therapeutic Procedure (Specify)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive follow-up within 7 days after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9407","description":"Patient did not receive follow-up within 7 days after discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroxine; Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84436","description":"Thyroxine; Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Assessment by chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9001","description":"Assessment by chaplain services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apollo FT, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4385","description":"Apollo FT, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid or Flexible, w/wo Fluoroscopic Guidance; w Transbronchial Needle Aspiration Biopsy(s), ea addl Lobe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31633","description":"Bronchoscopy, Rigid or Flexible, w/wo Fluoroscopic Guidance; w Transbronchial Needle Aspiration Biopsy(s), ea addl Lobe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Hepatitis Be Antigen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87350","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Hepatitis Be Antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Embedded Fb, Eyelid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67938","description":"Removal, Embedded Fb, Eyelid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinical pathology consultation; limited, without review of patient's history and medical records","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80500","description":"Clinical pathology consultation; limited, without review of patient's history and medical records","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Positive airway pressure therapy prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8845","description":"Positive airway pressure therapy prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 2 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0837","description":"PWC gp 2 hd sing pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4629.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4629.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":561.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Health care practitioners rendering treatment in place (TIP)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2021","description":"Health care practitioners rendering treatment in place (TIP)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, casirivimab and imdevimab, 2400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0243","description":"Injection, casirivimab and imdevimab, 2400 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngotomy (Thyrotomy, Laryngofissure); W/Removal, Tumor/Laryngocele, Cordectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31300","description":"Laryngotomy (Thyrotomy, Laryngofissure); W/Removal, Tumor/Laryngocele, Cordectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1977.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1977.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2865","description":"Injection, sulfamethoxazole 5 mg and trimethoprim 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ldl value < 100","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9271","description":"Ldl value < 100","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, epinephrine (Hospira), not therapeutically equivalent to J0165, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0167","description":"Injection, epinephrine (Hospira), not therapeutically equivalent to J0165, 0.1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician service or other qualified health care professional for the E/M of a beneficiary's acute change in condition in a nursing facility.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9685","description":"Physician service or other qualified health care professional for the E/M of a beneficiary's acute change in condition in a nursing facility.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":303.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Cytopathology Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88199","description":"Unlisted Cytopathology Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33970","description":"Insertion, Intra-Aortic Balloon Assist Device Through The Femoral Artery, Open Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":548.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including artrl access, cath, imaging, radiological supervision, interp, percutaneous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33370","description":"Transcatheter placement and subsequent removal of cerebral embolic protection device(s), including artrl access, cath, imaging, radiological supervision, interp, percutaneous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":237.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9956","description":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Respiratory - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3LA21","description":"Late - Community, MMTA - Respiratory - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gauze > 48 Sq In Water/Salne","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6230","description":"Gauze > 48 Sq In Water/Salne","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Temporomandibular Joint, Dx W/Wo Synovial Bx (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29800","description":"Arthroscopy, Temporomandibular Joint, Dx W/Wo Synovial Bx (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":804.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, long arm splint, adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4018","description":"Cast supplies, long arm splint, adult (11 years +), fiberglass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diabetes screening test not performed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8779","description":"Diabetes screening test not performed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber/insertion of pacing electrode","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0448","description":"Insertion or replacement of a permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber/insertion of pacing electrode","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, In Zone 2 No Man's Land; Primary W/O Free Graft, Each Tend","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26356","description":"Flexor Tendon Repair/Advance, In Zone 2 No Man's Land; Primary W/O Free Graft, Each Tend","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surgery/Trauma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66172","description":"Fistulization, Sclera, Glaucoma; Trabeculectomy Ab Externo W/Scarring, Previous Surgery/Trauma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1788.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII/von Willebrand factor complex, recombinant (Altuviiio), per Factor VIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7214","description":"Injection, Factor VIII/von Willebrand factor complex, recombinant (Altuviiio), per Factor VIII IU","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Troponin, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84484","description":"Troponin, Quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Specimen site other than anatomic location of esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8797","description":"Specimen site other than anatomic location of esophagus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":933.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Storage, (Per Year); Embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89342","description":"Storage, (Per Year); Embryo(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Localization of tumor, inflammatory process or dist. of radiopharm. agent(s), SPECT w/CT, localization and determination/detection, single or acquisition, single day imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78830","description":"Localization of tumor, inflammatory process or dist. of radiopharm. agent(s), SPECT w/CT, localization and determination/detection, single or acquisition, single day imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":781.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":128.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":653.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88333","description":"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9161","description":"Spoken language comprehension functional limitation, discharge status, at discharge from therapy or to end reporting","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt tlk 1st vst to keep/resume normal activities","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4245F","description":"Pt tlk 1st vst to keep/resume normal activities","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0160U","description":"MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":311.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGP4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Retrieval (Removal) Of Intravascular Vena Cava Filter, Endovascular Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37193","description":"Retrieval (Removal) Of Intravascular Vena Cava Filter, Endovascular Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2296.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic Cannulation of Papilla with Direct Visualization of Common Bile Duct(s) and/or Pancreatic Duct(s) (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43273","description":"Endoscopic Cannulation of Papilla with Direct Visualization of Common Bile Duct(s) and/or Pancreatic Duct(s) (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64487","description":"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infect Agnt Phenotyp Analys (Dna/Rna) W/Drug Resist Tissu Cult Analys, Hiv 1; 1-10 Drugs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87903","description":"Infect Agnt Phenotyp Analys (Dna/Rna) W/Drug Resist Tissu Cult Analys, Hiv 1; 1-10 Drugs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":537.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":537.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in additi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88369","description":"Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each additional single probe stain procedure (List separately in additi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":49.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Interphalangeal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28024","description":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Interphalangeal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":702.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 17","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 17","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9700","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8868","description":"Patients receiving a first course of anti-tnf therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement, complete, of a PICC, without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36584","description":"Replacement, complete, of a PICC, without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":307.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62329","description":"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation of existing tract, percu, for endourologic proc incl img guide and associated rad sup and interp, w/ postproc tube placement, incl access into renal collecting system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50437","description":"Dilation of existing tract, percu, for endourologic proc incl img guide and associated rad sup and interp, w/ postproc tube placement, incl access into renal collecting system","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":468.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiovascular Stress Test W/Ecg Monitor; Interpretation & Report Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93018","description":"Cardiovascular Stress Test W/Ecg Monitor; Interpretation & Report Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replantation, Forearm (Includes Radius & Ulna To Radial Carpal Joint), Complete Amputation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20805","description":"Replantation, Forearm (Includes Radius & Ulna To Radial Carpal Joint), Complete Amputation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4777.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic exam, spine; thoracolumbar junction, minimum of 2 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72080","description":"Radiologic exam, spine; thoracolumbar junction, minimum of 2 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"I intend to report the acute otitis externa (aoe) measures group","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9465","description":"I intend to report the acute otitis externa (aoe) measures group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Cast; Finger (Contracture)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29086","description":"Application, Cast; Finger (Contracture)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":115.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Long Leg Splint (Thigh To Ankle/Toes)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29505","description":"Application, Long Leg Splint (Thigh To Ankle/Toes)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trxmnt rvw to Dr mngng care w/in 1mon end trxmnt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5020F","description":"Trxmnt rvw to Dr mngng care w/in 1mon end trxmnt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant Supported Metal Crown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6067","description":"Implant Supported Metal Crown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1052.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clitoroplasty, Intersex State","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"56805","description":"Clitoroplasty, Intersex State","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1916.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Construction, Apical-Aortic Conduit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33404","description":"Construction, Apical-Aortic Conduit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2698.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopically Aided Treatment, Tibial Fx, Proximal; Bicondylar, W/Wo Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29856","description":"Arthroscopically Aided Treatment, Tibial Fx, Proximal; Bicondylar, W/Wo Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1514.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin Tolerance Panel; Growth Hormone Deficiency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80435","description":"Insulin Tolerance Panel; Growth Hormone Deficiency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":113.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Visit, Prenat Monitor Assess, Fetal Heart Rate, Non-Stress Test, Uterine, Gestat Diabet Monitor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99500","description":"Home Visit, Prenat Monitor Assess, Fetal Heart Rate, Non-Stress Test, Uterine, Gestat Diabet Monitor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, daptomycin (Xellia), not therapeutically equivalent to J0878 or J0872, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0873","description":"Injection, daptomycin (Xellia), not therapeutically equivalent to J0878 or J0872, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computed Tomographic (CT) Colonography, Screening, Including Image Postprocessing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74263","description":"Computed Tomographic (CT) Colonography, Screening, Including Image Postprocessing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":956.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":1127.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":171.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3GA11","description":"Late - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57330","description":"Closure, Vesicovaginal Fistula; Transvesical & Vaginal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1144.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Malignant Lesion, Scalp/Neck/Hands/Feet/Genitalia; Diameter 0.5 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17270","description":"Destruction, Malignant Lesion, Scalp/Neck/Hands/Feet/Genitalia; Diameter 0.5 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":226.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Microprcsr cu elec vad, rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0481","description":"Microprcsr cu elec vad, rep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16720.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Genetic testing for severe inherited conditions, genomic sequence analysis panel, must include sequencing of at least 15 genes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81443","description":"Genetic testing for severe inherited conditions, genomic sequence analysis panel, must include sequencing of at least 15 genes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2693.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":2693.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Soft Tissue, Back/Flank","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21935","description":"Radical Resection, Tumor, Soft Tissue, Back/Flank","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1574.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Embedded Foreign Body, Eyelid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67938","description":"Removal, Embedded Foreign Body, Eyelid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":364.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87492","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Chlamydia Trachomatis, Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":58.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, includes microprocessor, all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0738","description":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, includes microprocessor, all components and accessories","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30335.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Correction, Trichiasis; Incision, Lid Margin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67830","description":"Correction, Trichiasis; Incision, Lid Margin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":396.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arm pad, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0019","description":"Arm pad, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":16.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psoriasis assessment tool documented not meeting any one of the specified benchmarks","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9651","description":"Psoriasis assessment tool documented not meeting any one of the specified benchmarks","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Complex - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2DB31","description":"Early - Institutional, Complex - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33615","description":"Repair, Complex Cardiac Anomalies, Closure, Atriaseptl Defect, Anastomosis Atria/Vena Cava-Pulm Art","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3084.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Omegaven, 10 g lipids","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4187","description":"Omegaven, 10 g lipids","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 56","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 56","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, adalimumab-fkjp, biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5140","description":"Injection, adalimumab-fkjp, biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration of Epididymis, with or without Biopsy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54865","description":"Exploration of Epididymis, with or without Biopsy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":549.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SurGraft ACA, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4394","description":"SurGraft ACA, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vaginal Delivery Only (W/Wo Episiotomy &/Or Forceps); W/Postpartum Care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59410","description":"Vaginal Delivery Only (W/Wo Episiotomy &/Or Forceps); W/Postpartum Care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1595.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Blood Vessel W/Graft Other Than Vein; Upper Extremity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35266","description":"Repair Blood Vessel W/Graft Other Than Vein; Upper Extremity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1345.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow, wrist, hand device, powered, with single or double upright(s), any type joint(s), includes microprocessor, sensors, all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8701","description":"Elbow, wrist, hand device, powered, with single or double upright(s), any type joint(s), includes microprocessor, sensors, all components and accessories","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33480.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Test Socket Shldr Disart/Tho","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6684","description":"Test Socket Shldr Disart/Tho","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":441.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":543.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Matristem micromatrix, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4118","description":"Matristem micromatrix, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFM6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Knee; Complete, 4+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73564","description":"Radiologic Exam, Knee; Complete, 4+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation, Urethral Stricture/Vesical Neck, Male, General/Spinal Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53605","description":"Dilation, Urethral Stricture/Vesical Neck, Male, General/Spinal Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGN3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcy Bifocal 4.00d/2.1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2204","description":"Lens Sphcy Bifocal 4.00d/2.1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tlk re: sprvsd xrcz prog to pts for bk pn >12wks","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4242F","description":"Tlk re: sprvsd xrcz prog to pts for bk pn >12wks","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Lift Hydraulic - with Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0630","description":"Patient Lift Hydraulic - with Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1208.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":70.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Dx (Sep Proc); Pericardial Sac, W/Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32604","description":"Thoracoscopy, Dx (Sep Proc); Pericardial Sac, W/Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":742.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had one or less emergency department visits in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9851","description":"Patient had one or less emergency department visits in the last 30 days of life","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Negative microalbuminuria test result documented and reviewed (DM)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3061F","description":"Negative microalbuminuria test result documented and reviewed (DM)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ear impression, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5275","description":"Ear impression, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin syringes (100 syringes, any size)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8490","description":"Insulin syringes (100 syringes, any size)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":25.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60660","description":"Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4501.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Leishmania","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86717","description":"Antibody; Leishmania","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4217","description":"WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adenovirus Vaccine, Type 4, Live, Oral Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90476","description":"Adenovirus Vaccine, Type 4, Live, Oral Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CHK1","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exercise Device Passive Moti","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0935","description":"Exercise Device Passive Moti","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Nerve Conduction Studies; 9-10 Studies","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95911","description":"Nerve Conduction Studies; 9-10 Studies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":352.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":149.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71270","description":"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":306.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":411.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bilat Salping-Oophorec W/Omentec, Tl Abd Hyst & Radcl Dissec, Debul; W/Pelv & Ltd Paraaortic Lymp","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58954","description":"Bilat Salping-Oophorec W/Omentec, Tl Abd Hyst & Radcl Dissec, Debul; W/Pelv & Ltd Paraaortic Lymp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3378.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3378.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemical Peel, Facial; Dermal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15789","description":"Chemical Peel, Facial; Dermal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":839.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AHL1","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immune Globulin (Igiv), Human, Iv Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90283","description":"Immune Globulin (Igiv), Human, Iv Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87468","description":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGL6","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Emg, Needle, 1 Fiber Electrode W/Quantitative Measurement, Jitter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95872","description":"Emg, Needle, 1 Fiber Electrode W/Quantitative Measurement, Jitter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":232.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":232.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":295.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":295.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"2 core maintenance sessions attended in months 7-9 (weight loss goal not achieved or maintained)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9876","description":"2 core maintenance sessions attended in months 7-9 (weight loss goal not achieved or maintained)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Curettage, Bone Cyst/Benign Tumor, Phalanges, Foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28108","description":"Excision/Curettage, Bone Cyst/Benign Tumor, Phalanges, Foot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":673.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64448","description":"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter placement), including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":108.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Laceration 2.5 Cm/<; Posterior One-Third, Tongue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41251","description":"Repair, Laceration 2.5 Cm/<; Posterior One-Third, Tongue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":438.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFK4","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sho Insert W Arch Toe Filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5000","description":"Sho Insert W Arch Toe Filler","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":592.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":481.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Fenestration Semicircular Canal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69820","description":"Fenestration Semicircular Canal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1267.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Forearm, Through Radius & Ulna; Secondary Closure/Scar Revision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25907","description":"Amputation, Forearm, Through Radius & Ulna; Secondary Closure/Scar Revision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":925.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35103","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptured Aneurysm, Abd Aorta W/Iliac Vessels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3495.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ea addl 20 min mo tx mgnt svc directly related to pts ther use of DMHT device that augments a behavioral ther plan, phys/other QHP time rev data generated from DMHT device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0554","description":"Ea addl 20 min mo tx mgnt svc directly related to pts ther use of DMHT device that augments a behavioral ther plan, phys/other QHP time rev data generated from DMHT device","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFLT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45395","description":"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3038.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aspiration of Bladder; with Insertion of Suprapubic Catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51102","description":"Aspiration of Bladder; with Insertion of Suprapubic Catheter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":343.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGM5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Coronoidectomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21070","description":"Coronoidectomy (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":928.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary p","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0462","description":"Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary p","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Cardiac - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2HC21","description":"Early - Institutional, MMTA - Cardiac - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Acromioclavicular Dislocation; W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23545","description":"Closed Treatment, Acromioclavicular Dislocation; W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":507.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extra-oral posterior dental radiographic images - image capture only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0705","description":"Extra-oral posterior dental radiographic images - image capture only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4419","description":"Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Removal, Vitreous/Discission, Anterior Hyaloid Membrane","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65810","description":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Removal, Vitreous/Discission, Anterior Hyaloid Membrane","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":699.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":699.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Porcelain Fused To Metal Fpd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6076","description":"Implant Supported Retainer For Porcelain Fused To Metal Fpd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":824.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Complicated Suture - Up To 5 Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7911","description":"Complicated Suture - Up To 5 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":300.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid; Influenza Virus, Reverse Transcription & Amp Prb Tech, Ea Type/Subtype","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87501","description":"Infectious Agent Detection By Nucleic Acid; Influenza Virus, Reverse Transcription & Amp Prb Tech, Ea Type/Subtype","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":56.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diskectomy, Anterior; Thoracic, Add'l Interspace","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63078","description":"Diskectomy, Anterior; Thoracic, Add'l Interspace","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":300.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHKV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminotomy, with decompression of root, including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63042","description":"Laminotomy, with decompression of root, including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1996.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0155","description":"Unknown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc & Placement, Chain, Contrast &/Or Chain Urethrocystography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51605","description":"Injection Proc & Placement, Chain, Contrast &/Or Chain Urethrocystography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Behavioral Health - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3FB11","description":"Late - Community, Behavioral Health - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Hiv-2, Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87539","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Hiv-2, Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":64.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Forearm &/Or Wrist; Bursa","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25031","description":"Incision & Drainage, Forearm &/Or Wrist; Bursa","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":550.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Genotype Analysis, Nucleic Acid (Dna/Rna); Hepatitis C Virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87902","description":"Infectious Agent Genotype Analysis, Nucleic Acid (Dna/Rna); Hepatitis C Virus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":283.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter Placement In Coronary Artery(S) For Coronary Angiography; With Left Heart Cath With Bypass Graft Angiography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93459","description":"Catheter Placement In Coronary Artery(S) For Coronary Angiography; With Left Heart Cath With Bypass Graft Angiography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1678.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":519.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":1159.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Behavioral Health - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2FB31","description":"Early - Institutional, Behavioral Health - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies)  for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies)  for other than rupture (eg, for aneurysm, pseudoaneurysm, dissection, penetrating ulcer)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2685.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Abdomen, Peritoneum & Omentum, Dx, W/Wo Specimen(S), Brushing/Washing (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49320","description":"Laparoscopy, Abdomen, Peritoneum & Omentum, Dx, W/Wo Specimen(S), Brushing/Washing (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":498.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0482","description":"drug tests, definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers, including, but no limited to , GC/M","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":218.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":218.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pontic-indirect resin based","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6205","description":"Pontic-indirect resin based","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":610.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Written discharge instructions provided to heart failure patients discharged home","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4014F","description":"Written discharge instructions provided to heart failure patients discharged home","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal revascularization via coronary bypass graft (arterial/venous); any combo of stent, atherectomy, angioplasty, incl. distal protection, single artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92937","description":"Percutaneous transluminal revascularization via coronary bypass graft (arterial/venous); any combo of stent, atherectomy, angioplasty, incl. distal protection, single artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":913.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Procedure During Cardiac Cath; For Selective Coronary Angiography During Congenital Heart Catheterization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93563","description":"Injection Procedure During Cardiac Cath; For Selective Coronary Angiography During Congenital Heart Catheterization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Nasal Septal Perforations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30630","description":"Repair Nasal Septal Perforations","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":934.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nebulizer With Compression","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0570","description":"Nebulizer With Compression","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":80.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":6.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Supracondylar/Transcondylar Humeral Fx; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24530","description":"Closed Treatment, Supracondylar/Transcondylar Humeral Fx; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":573.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0567T","description":"Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":526.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93315","description":"Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":194.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":194.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":256.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":137.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoassay, Tumor Antigen, Quantitative; Ca 15-3 (27.29)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86300","description":"Immunoassay, Tumor Antigen, Quantitative; Ca 15-3 (27.29)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33410","description":"Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3912.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3912.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow Fair Lead Cable Dir Fo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6586","description":"Elbow Fair Lead Cable Dir Fo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2436.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1980.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanic Neurectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69676","description":"Tympanic Neurectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1258.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 13","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 13","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Epididymectomy; Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54861","description":"Epididymectomy; Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":865.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHMW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHLT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Automated Multichannel Test; 21 Clinical Chemistry Tests","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0059","description":"Automated Multichannel Test; 21 Clinical Chemistry Tests","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Charger elec/combo vad, rep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0495","description":"Charger elec/combo vad, rep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4806.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11105","description":"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFK4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGM2","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders,genomic sequence analysis & deletion/duplication analysis panel (ATM, BRCA1, BRCA2, CDH1, CHEK2, PALB2, PTEN, TP53)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0129U","description":"Hereditary breast cancer-related disorders,genomic sequence analysis & deletion/duplication analysis panel (ATM, BRCA1, BRCA2, CDH1, CHEK2, PALB2, PTEN, TP53)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1434.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1434.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (pancreas), DNA and mRNA next-gen seq. analysis of 74 genes and analysis of CEA (CEACAM5) gene expr, pancreatic cyst fluid, algorithm reported as a catg result","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0313U","description":"Oncology (pancreas), DNA and mRNA next-gen seq. analysis of 74 genes and analysis of CEA (CEACAM5) gene expr, pancreatic cyst fluid, algorithm reported as a catg result","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3960.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis; Concurrent Infusion (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96368","description":"Intravenous Infusion, for Therapy, Prophylaxis, or Diagnosis; Concurrent Infusion (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":30.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sex Hormone Binding Globulin (Shbg)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84270","description":"Sex Hormone Binding Globulin (Shbg)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumonostomy; W/Open Drainage, Abscess/Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32200","description":"Pneumonostomy; W/Open Drainage, Abscess/Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1730.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resource-intensive svcs for pt for whom the use of specialized mobility-assistive tech is necessary, used during the provision of an office/outpatient, eval and mgmt visit.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0501","description":"Resource-intensive svcs for pt for whom the use of specialized mobility-assistive tech is necessary, used during the provision of an office/outpatient, eval and mgmt visit.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 42","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 42","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Chalazion; Multiple, Different Lids","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67805","description":"Excision, Chalazion; Multiple, Different Lids","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Extensor Tendon, Distal Insertion, W/Wo Percutaneous Pinning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26432","description":"Closed Treatment, Extensor Tendon, Distal Insertion, W/Wo Percutaneous Pinning","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":744.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Knee; 3 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73562","description":"Radiologic Exam, Knee; 3 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Benign Tumor, Cranial Bone; W/Optic Nerve Decompression","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61564","description":"Excision, Benign Tumor, Cranial Bone; W/Optic Nerve Decompression","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3549.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9194","description":"Patient with a diagnosis of major depression documented as being treated with antidepressant medication during the entire 180 day (6 month) continuation treatment phase","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHMT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound Guidance for , and Monitoring of, Visceral Tissue Ablation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76940","description":"Ultrasound Guidance for , and Monitoring of, Visceral Tissue Ablation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":93.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CT Guidance for Needle Placement, Radiological Supervision and Interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77012","description":"CT Guidance for Needle Placement, Radiological Supervision and Interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":99.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":86.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Mri, Chest; W/O Contrast Matl(S), Followed By Contrast Matl(S) & Further Sequences","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71552","description":"Mri, Chest; W/O Contrast Matl(S), Followed By Contrast Matl(S) & Further Sequences","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":867.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":695.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":171.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Prosthetic Eye Other Type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2629","description":"Prosthetic Eye Other Type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1295.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Recement supp crown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6092","description":"Recement supp crown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Perc Transcatheter Closure, Congenital Ventricular Septal Defect W/Implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93581","description":"Perc Transcatheter Closure, Congenital Ventricular Septal Defect W/Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2071.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0506","description":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multi-source photon stereotactic radiosurgery delivery including collimator changes and custom plugging, complete course","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0243","description":"Multi-source photon stereotactic radiosurgery delivery including collimator changes and custom plugging, complete course","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Anal Lesion(S), Simple; Electrodesiccation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46910","description":"Destruction, Anal Lesion(S), Simple; Electrodesiccation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SAV for the E&M of an established patient, which requires a medically appropriate history and/or examination, high medical decision making, and 10 min+ of medical discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98015","description":"SAV for the E&M of an established patient, which requires a medically appropriate history and/or examination, high medical decision making, and 10 min+ of medical discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 55","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 55","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance, administered by physician or QHC professional (w/ or w/o patient present), face-to-face w/ guardian(s)/caregiver(s), each 15 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97156","description":"Family adaptive behavior treatment guidance, administered by physician or QHC professional (w/ or w/o patient present), face-to-face w/ guardian(s)/caregiver(s), each 15 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Spine; Thoracolumbar, 2 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72080","description":"Radiologic Exam, Spine; Thoracolumbar, 2 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Inpatient or observation consult for new or est. pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 60 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99254","description":"Inpatient or observation consult for new or est. pt, req. medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 60 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BHLS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electron microscopy diagnost","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0481","description":"Electron microscopy diagnost","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Carotid-Carotid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35509","description":"Bypass Graft, W/Vein; Carotid-Carotid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2193.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient survey score did not improve from baseline following treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9605","description":"patient survey score did not improve from baseline following treatment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 49","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 49","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Acromio/Sternoclavicular Joint, W/Bx &/Or Excision, Torn Cartilage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23101","description":"Arthrotomy, Acromio/Sternoclavicular Joint, W/Bx &/Or Excision, Torn Cartilage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":679.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Truss Double W/ Standard Pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8310","description":"Truss Double W/ Standard Pad","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":172.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":139.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Bone; Talus/Calcaneus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27647","description":"Radical Resection, Tumor, Bone; Talus/Calcaneus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1564.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Distal Radial Fx/Epiphyseal Separation; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25600","description":"Closed Treatment, Distal Radial Fx/Epiphyseal Separation; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":493.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onlay Metallic, Two Surfaces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2542","description":"Onlay Metallic, Two Surfaces","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":627.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4649","description":"Surgical Supplies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":240.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":240.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGK1","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, Bone Tumor(s) Radiofrequency, Percutaneous, Including Computed Tomographic Guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20982","description":"Ablation, Bone Tumor(s) Radiofrequency, Percutaneous, Including Computed Tomographic Guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2564.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoulder Flexion-Abduction J","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6645","description":"Shoulder Flexion-Abduction J","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":377.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":464.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2164","description":"Patient had a prior influenza virus vaccine adverse reaction any time before or during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74183","description":"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":586.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":757.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6534","description":"Gc stocking thighlngth 30-40","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":59.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ketogenic Steroids, Fractionation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83582","description":"Ketogenic Steroids, Fractionation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGM6","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Iris, Ciliary Body (As, Iridodialysis)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66680","description":"Repair, Iris, Ciliary Body (As, Iridodialysis)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":778.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foam filled drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2386","description":"Foam filled drive wheel tire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":126.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":126.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onlay - Cast Noble Metal, Two Surfaces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6614","description":"Onlay - Cast Noble Metal, Two Surfaces","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":665.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pediatric Home Apnea Monitoring Event Recording per 30-Day Period; Monitor Attachmt, Data Downld, Phys Rev, Interp&Reprt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94774","description":"Pediatric Home Apnea Monitoring Event Recording per 30-Day Period; Monitor Attachmt, Data Downld, Phys Rev, Interp&Reprt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":586.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intens cardiac rehab w/exerc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0422","description":"Intens cardiac rehab w/exerc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Palatal Augmentation Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5954","description":"Palatal Augmentation Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4385.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Meningocococcal Polysaccharide Vaccine (Any Group(S)), Subq Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90733","description":"Meningocococcal Polysaccharide Vaccine (Any Group(S)), Subq Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient received at least one well-child visit with a PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9964","description":"Patient received at least one well-child visit with a PCP during the performance period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"I intend to report the sinusitis measures group","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9463","description":"I intend to report the sinusitis measures group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGLW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiotomy, Exploratory W/Removal, Fb; W/O Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33310","description":"Cardiotomy, Exploratory W/Removal, Fb; W/O Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1813.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tobacco assessment or tobacco cessation intervention not performed, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9460","description":"Tobacco assessment or tobacco cessation intervention not performed, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vitrectomy, Mechanical, Pars Plana Approach; with Removal of Internal Limiting Membrane of Retina","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67042","description":"Vitrectomy, Mechanical, Pars Plana Approach; with Removal of Internal Limiting Membrane of Retina","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1732.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 45","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8672","description":"Risk-adjusted functional status change residual score for the neck, cranium, mandible, thoracic spine, or rib impairment successfully calculated and the score was < 45","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81220","description":"Cftr (Cystic Fibrosis Transmembrane Conductance Regulator) Gene Analysis; Common Variants (Eg, Acmg/Acog Guidelines)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":612.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":612.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BHKU","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, etc.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8880","description":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g., non-invasive cancer, incidental discovery of breast cancer on prophylactic mastectomy, etc.)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin substitute, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4100","description":"Skin substitute, not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy W/O Facetectomy/Foraminotomy/Diskectomy, 1/2 Segments; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63005","description":"Laminectomy W/O Facetectomy/Foraminotomy/Diskectomy, 1/2 Segments; Lumbar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1825.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No lipid prof perf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8594","description":"No lipid prof perf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Serpina1 (Serpin Peptidase Inhibitor, Clade A, Alpha-1 Antiproteinase, Antitrypsin, Member 1), Gene Analysis,Common Vars","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81332","description":"Serpina1 (Serpin Peptidase Inhibitor, Clade A, Alpha-1 Antiproteinase, Antitrypsin, Member 1), Gene Analysis,Common Vars","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":48.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assay Of Lidocaine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80176","description":"Assay Of Lidocaine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interrogation of Ventricular Assist Device (VAD), In Person, with Physician Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93750","description":"Interrogation of Ventricular Assist Device (VAD), In Person, with Physician Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"overdenture - complete mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5865","description":"overdenture - complete mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1383.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92229","description":"Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Removal, Clot/Fb, Pericardial Sac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32658","description":"Thoracoscopy, Surgical; W/Removal, Clot/Fb, Pericardial Sac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1093.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Interphalangeal Joint, W/Wo Int Fixation; W/Autograft (Inc Obtaining Graft), Add'l Jnt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26863","description":"Arthrodesis, Interphalangeal Joint, W/Wo Int Fixation; W/Autograft (Inc Obtaining Graft), Add'l Jnt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":354.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHN6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Hand; 3+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73130","description":"Radiologic Exam, Hand; 3+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":32.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":32.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":46.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Medial Malleolus Fx; W/Manipulation, W/Wo Skin/Skeletal Traction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27762","description":"Closed Treatment, Medial Malleolus Fx; W/Manipulation, W/Wo Skin/Skeletal Traction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":710.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Midtarsal/Tarsometatarsal, Single Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28740","description":"Arthrodesis, Midtarsal/Tarsometatarsal, Single Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1293.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home injectable therapy; hormonal therapy (e.g., leuprolide, goserelin) (drugs and nursing visits coded separately), per","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9560","description":"Home injectable therapy; hormonal therapy (e.g., leuprolide, goserelin) (drugs and nursing visits coded separately), per","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90686","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97610","description":"Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Trochanteric Pressure Ulcer, W/Primary Suture;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15950","description":"Excision, Trochanteric Pressure Ulcer, W/Primary Suture;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":899.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted funct status residual score; neck, cranium, mandible, thoracic spine, or rib impairment not measured b/c the patient did not complete the FS survey at discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8673","description":"Risk-adjusted funct status residual score; neck, cranium, mandible, thoracic spine, or rib impairment not measured b/c the patient did not complete the FS survey at discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Screening Pap Smear By Physician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P3001","description":"Screening Pap Smear By Physician","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":46.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of Gastrostomy or Cecostomy (or Other Colonic) Tube, Percutaneous, Under Fluoroscopic Guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49450","description":"Replacement of Gastrostomy or Cecostomy (or Other Colonic) Tube, Percutaneous, Under Fluoroscopic Guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1001.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Use of anti-inflammatory or analgesic over-the-counter (otc) medications for symptom relief assessed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1007F","description":"Use of anti-inflammatory or analgesic over-the-counter (otc) medications for symptom relief assessed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ustekinumab-kfce (Yesintek), biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5100","description":"Injection, ustekinumab-kfce (Yesintek), biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHKV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Porphyrins, Feces; Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84126","description":"Porphyrins, Feces; Quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":43.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foam Dressing Wound Filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6215","description":"Foam Dressing Wound Filler","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Laser interstitial thermal therapy lesion, intracranial, including burr hole(s), w/magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61736","description":"Laser interstitial thermal therapy lesion, intracranial, including burr hole(s), w/magnetic resonance imaging guidance, when performed; single trajectory for 1 simple lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2141.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HF MG qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8551","description":"HF MG qual act perform","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision or destruction, open, intra-abdominal, primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49188","description":"Excision or destruction, open, intra-abdominal, primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3655.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic exam, upper gastrointestinal tract; w/small intestine, includes multiple serial images","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74245","description":"Radiologic exam, upper gastrointestinal tract; w/small intestine, includes multiple serial images","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":255.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]}],"provider_references":[{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043398407],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1598208183],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497287775],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417257742],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023568359],"tin":{"type":"ein","value":"412040765"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205152576],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851517999],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770257610],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417192600],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588651236],"tin":{"type":"ein","value":"463799343"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1124711841],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700909983],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Ambulance (AMB)","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922363092],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023484615],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780604306],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114110947],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841719713],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477949766],"tin":{"type":"ein","value":"472920584"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710102959],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326701277],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316615578],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255932059],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1467464347],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750160008],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811310618],"tin":{"type":"ein","value":"820733992"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750678298],"tin":{"type":"ein","value":"452685803"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639725245],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639362742],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245449099],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750616249],"tin":{"type":"ein","value":"270996353"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821096082],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891107314],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831135581],"tin":{"type":"ein","value":"010708714"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437232139],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1508857095],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770847220],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962849307],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke (BrightPath)- PCP type","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235759432],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760597793],"tin":{"type":"ein","value":"202167970"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225032857],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Legacy+ PCP-type Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306207279],"tin":{"type":"ein","value":"475036414"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790785087],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053369884],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477583722],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225637671],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417945627],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487009635,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750620159],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235820739],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760719934],"tin":{"type":"ein","value":"271161208"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871560425],"tin":{"type":"ein","value":"201906973"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992756498],"tin":{"type":"ein","value":"203077657"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235211004],"tin":{"type":"ein","value":"271239841"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962491464],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609989029],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275939043],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225865603],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497146534],"tin":{"type":"ein","value":"472430266"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861637100],"tin":{"type":"ein","value":"463754045"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528231826],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417394438],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780088823],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619173143],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770987844],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053047829],"tin":{"type":"ein","value":"811264082"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205802998],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114281284],"tin":{"type":"ein","value":"542124360"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669151213],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1932726015],"tin":{"type":"ein","value":"451083584"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033375092],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316294531],"tin":{"type":"ein","value":"454551946"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861046328],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619652526],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023114378],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790898112],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649441411],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205248960],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083010193],"tin":{"type":"ein","value":"465444009"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033890777],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871952143],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548691561],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952312050],"tin":{"type":"ein","value":"810241755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073557393],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861062390],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator LEHP - OR PCP Type (Exclude OHSU)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821036856],"tin":{"type":"ein","value":"204572231"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518543768],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295777274],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811258379],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265612543],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174795892],"tin":{"type":"ein","value":"910894931"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699146456],"tin":{"type":"ein","value":"474591265"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073248605],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992837942],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871651281],"tin":{"type":"ein","value":"346462298"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356517098],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003087156],"tin":{"type":"ein","value":"202068627"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477877934],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255684973],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649266040],"tin":{"type":"ein","value":"263903975"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306163688],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1447768940],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083726053],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083703185,1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669964789],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619696705],"tin":{"type":"ein","value":"912022850"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295777274],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID PCP Type","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205838075],"tin":{"type":"ein","value":"364916070"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023484615],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144273566],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588148134],"tin":{"type":"ein","value":"262303135"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639869340],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588154470],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396896577],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164606810],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821068321],"tin":{"type":"ein","value":"202013710"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780882126],"tin":{"type":"ein","value":"421690580"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174362776],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326030172],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619173127],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891960233],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841350527],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548691561],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558735688],"tin":{"type":"ein","value":"810406624"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669942561],"tin":{"type":"ein","value":"260656038"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184888505],"tin":{"type":"ein","value":"201443158"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720074909],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649325580],"tin":{"type":"ein","value":"452738860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1932218914],"tin":{"type":"ein","value":"010864547"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639355928],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1376638585],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386091015],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619998648],"tin":{"type":"ein","value":"200197438"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578140414],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356536312],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821360868],"tin":{"type":"ein","value":"454050084"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891929519],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053669598],"tin":{"type":"ein","value":"454551946"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023438538],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619998648],"tin":{"type":"ein","value":"200197438"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922452564],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699154542],"tin":{"type":"ein","value":"820301061"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477276194],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["MT Hlth Network (MHN) PCP Type Providers","Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841350527],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134311988],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891172474],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306871678],"tin":{"type":"ein","value":"030364957"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811622392],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1366905929],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811437882],"tin":{"type":"ein","value":"371843700"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275516718],"tin":{"type":"ein","value":"200671644"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023069481],"tin":{"type":"ein","value":"202269977"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1336209345],"tin":{"type":"ein","value":"274582526"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174541643],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003397878],"tin":{"type":"ein","value":"371881359"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770607723],"tin":{"type":"ein","value":"202095127"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235210881],"tin":{"type":"ein","value":"462013125"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1942771985],"tin":{"type":"ein","value":"260567182"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093786782],"tin":{"type":"ein","value":"352230758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093797839],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902880024],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356372221],"tin":{"type":"ein","value":"262303135"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851590400],"tin":{"type":"ein","value":"273383688"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851603955],"tin":{"type":"ein","value":"275284958"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548296593],"tin":{"type":"ein","value":"204989419"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316504442],"tin":{"type":"ein","value":"841391220"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518538834],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356308399],"tin":{"type":"ein","value":"411594648"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417449380],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316022247],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417945627],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851396261],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164437943],"tin":{"type":"ein","value":"680513045"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780685636],"tin":{"type":"ein","value":"462487680"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093782534],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104237700],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356332266],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023524121],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1346920980],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700822756],"tin":{"type":"ein","value":"680496104"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235432832],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255932059],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104237700],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639869340],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831241967],"tin":{"type":"ein","value":"082388417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619631322],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790132082],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720521008],"tin":{"type":"ein","value":"412033709"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841350527],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861694960],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043835713],"tin":{"type":"ein","value":"270996353"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1598717696],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1154709087],"tin":{"type":"ein","value":"472206738"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861500035],"tin":{"type":"ein","value":"820446265"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285696856],"tin":{"type":"ein","value":"272230516"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649761727],"tin":{"type":"ein","value":"823255983"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790309573],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891185286],"tin":{"type":"ein","value":"201508867"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023069481],"tin":{"type":"ein","value":"202269977"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265612543],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730129305],"tin":{"type":"ein","value":"810291695"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720074909],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588697197],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497095467],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831135581],"tin":{"type":"ein","value":"010708714"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912101783],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285199695],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548528706],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053369884],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type","Voyager - ID PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245237486],"tin":{"type":"ein","value":"431960221"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609925171],"tin":{"type":"ein","value":"264404173"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396896577],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902806375],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275703241],"tin":{"type":"ein","value":"261938641"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205849965],"tin":{"type":"ein","value":"203033510"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821075565],"tin":{"type":"ein","value":"201707366"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639188972],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689720435],"tin":{"type":"ein","value":"820313684"}}],"network_name":["St Luke Navigator (Specialist)","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750336608],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770274292],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639581226],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033824784],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790132082],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1013435361],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841620085],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477546414],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1538240213],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720547862],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528764347],"tin":{"type":"ein","value":"201974610"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285770958],"tin":{"type":"ein","value":"541646245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255592838],"tin":{"type":"ein","value":"800758360"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285517268],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043375975],"tin":{"type":"ein","value":"204148309"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063804938],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194364273],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386863769],"tin":{"type":"ein","value":"264414273"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1538267638],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841620085],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023620606],"tin":{"type":"ein","value":"371749452"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750477360],"tin":{"type":"ein","value":"472441158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356657894],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073072328],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174515431],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255318275],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255383212],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043235492],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265661185],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174875017],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285029751],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1376746347],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194019331],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285466797],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821389743],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407330863],"tin":{"type":"ein","value":"462879338"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669736419],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700967288],"tin":{"type":"ein","value":"810517289"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407233653],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821276353],"tin":{"type":"ein","value":"300430739"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750336608],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881641629],"tin":{"type":"ein","value":"826001139"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891788196],"tin":{"type":"ein","value":"331061786"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649712498],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265497846],"tin":{"type":"ein","value":"820300537"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184187114],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750386256],"tin":{"type":"ein","value":"810593962"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770607723],"tin":{"type":"ein","value":"202095127"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104896422],"tin":{"type":"ein","value":"203305236"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770987844],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1538365747],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225090954],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881697118],"tin":{"type":"ein","value":"820426249"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275250102],"tin":{"type":"ein","value":"205294327"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316274822],"tin":{"type":"ein","value":"101420866"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710102959],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144262114],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457553109],"tin":{"type":"ein","value":"200069475"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477630184],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1942643812],"tin":{"type":"ein","value":"461718527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245271477],"tin":{"type":"ein","value":"200750906"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750764015],"tin":{"type":"ein","value":"474317444"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1467430959],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316359326],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558035527],"tin":{"type":"ein","value":"274672472"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164720025],"tin":{"type":"ein","value":"372029709"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912937137],"tin":{"type":"ein","value":"205337190"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518514710],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649365271],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730168014],"tin":{"type":"ein","value":"201367309"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881636629],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528053790],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1538158415],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417207648],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639355928],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811257918],"tin":{"type":"ein","value":"454985415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"454880182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992201073],"tin":{"type":"ein","value":"274012525"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255361168],"tin":{"type":"ein","value":"810532591"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437370947],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003361981],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104494970],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1740879220],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992747570],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235255605],"tin":{"type":"ein","value":"820521864"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699081083],"tin":{"type":"ein","value":"331061786"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063419018],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1346994001],"tin":{"type":"ein","value":"205294327"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063525988],"tin":{"type":"ein","value":"810519587"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477567402],"tin":{"type":"ein","value":"204989419"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285441998],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255939989],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275821746],"tin":{"type":"ein","value":"452437880"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215982913],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548789530],"tin":{"type":"ein","value":"371865858"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679957385],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770696601],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912101783],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1366506966],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386968493],"tin":{"type":"ein","value":"208085770"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063045771],"tin":{"type":"ein","value":"274012525"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386661999],"tin":{"type":"ein","value":"461562538"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588268700],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1467051318],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225637671],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811437882],"tin":{"type":"ein","value":"371843700"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265481758],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639675101],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275521916],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568799054],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518651322],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497119614],"tin":{"type":"ein","value":"455303800"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1336455732],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396097630],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164054474],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770291924],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801384961],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326071937],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881030443],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811363153],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992747570],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629520440],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851467559],"tin":{"type":"ein","value":"820424212"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912424250],"tin":{"type":"ein","value":"371865858"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720040132],"tin":{"type":"ein","value":"330592165"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417449810],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1336108315],"tin":{"type":"ein","value":"820388664"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["MT Hlth Network (MHN) PCP Type Providers","Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053357038],"tin":{"type":"ein","value":"203060753"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639115785],"tin":{"type":"ein","value":"202199518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053806901],"tin":{"type":"ein","value":"332607371"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548296593],"tin":{"type":"ein","value":"204989419"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386910594],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316638778],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407347016],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Billings Clinic PCP type providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790909786],"tin":{"type":"ein","value":"208641171"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306802350],"tin":{"type":"ein","value":"202430574"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1346433166],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841776895],"tin":{"type":"ein","value":"611916051"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417364027],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871609370],"tin":{"type":"ein","value":"371697222"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457067134],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770291924],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326803842],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417155086],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609046671],"tin":{"type":"ein","value":"261938641"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306241351],"tin":{"type":"ein","value":"472026764"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629067327],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053743443],"tin":{"type":"ein","value":"454484738"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194364273],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417383654],"tin":{"type":"ein","value":"731631366"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407222003],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003211103],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750620159],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730447186],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1982805271],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023085545],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952355935],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851177331],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922490002],"tin":{"type":"ein","value":"454524233"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992897490],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134440001],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1063780492],"tin":{"type":"ein","value":"453951495"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396233383],"tin":{"type":"ein","value":"463780956"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1982928446],"tin":{"type":"ein","value":"272176056"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639115785],"tin":{"type":"ein","value":"202199518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174515431],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609438696],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184888505],"tin":{"type":"ein","value":"201443158"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437100328],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053751487],"tin":{"type":"ein","value":"463068729"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1346827524],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093908725],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1447768940],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235687294],"tin":{"type":"ein","value":"352559873"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043835713],"tin":{"type":"ein","value":"270996353"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1881257111],"tin":{"type":"ein","value":"710900869"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821420571],"tin":{"type":"ein","value":"462617367"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861046328],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093732901],"tin":{"type":"ein","value":"201728413"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174362776],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265846182],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588154470],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043375975],"tin":{"type":"ein","value":"204148309"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487631123],"tin":{"type":"ein","value":"201054971"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710055504],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1366905929],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629135447],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619908654],"tin":{"type":"ein","value":"472410179"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1366163594],"tin":{"type":"ein","value":"272064429"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1558864637],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699810614],"tin":{"type":"ein","value":"541020801"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851836381],"tin":{"type":"ein","value":"208277059"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1538548839],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275531865],"tin":{"type":"ein","value":"431178031"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1972917987],"tin":{"type":"ein","value":"932375096"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700995883],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1942058417],"tin":{"type":"ein","value":"820520880"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275516718],"tin":{"type":"ein","value":"200671644"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Voyager - OR Specialist Type"]}]}
